Organization
LAS DENTAL CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMEE SHAH (DENTIST)
(630) 595-2880
Entity
Organization
Contact information
Practice address
425 E IRVING PARK RD, WOOD DALE, IL 60191-1639
(630) 595-2880
(630) 595-5992
Mailing address
425 E IRVING PARK RD, WOOD DALE, IL 60191-1639
(630) 595-2880
(630) 595-5992
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.027184
IL
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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