Individual
RIYA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2442 SYCAMORE RD, DEKALB, IL 60115-2050
(815) 748-2666
Mailing address
1010 STATION BLVD UNIT 424, AURORA, IL 60504-2144
(510) 894-9767
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019034615
IL
Other
Enumeration date
08/31/2023
Last updated
09/01/2023
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