Individual
DR. TUSHAR S SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1704 POLARIS CIRCLE, OTTAWA, IL 61350
(815) 434-4222
(815) 434-4250
Mailing address
1704 POLARIS CIRCLE, OTTAWA, IL 61350
(815) 434-4222
(815) 434-4250
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
IL
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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