Organization
DIPAK S SHAH DDS LTD
Active
Other names
Central Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIPAK S SHAH DDS (PRESIDENT)
(708) 652-7575
Entity
Organization
Contact information
Practice address
5539 W CERMAK RD, CICERO, IL 60804-2218
(708) 652-7575
(708) 652-7545
Mailing address
5539 W CERMAK RD, CICERO, IL 60804-2218
(708) 652-7575
(708) 652-7545
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-015412
IL
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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