Organization
A BRUSH WITH DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAILEE SHASHI PATEL D.D.S. (PRESIDENT)
(312) 217-4490
Entity
Organization
Contact information
Practice address
100 N PEORIA AVE, DIXON, IL 61021-2027
(815) 288-1418
(815) 288-1419
Mailing address
223 GRAND OAKS LN, DIXON, IL 61021-3220
(312) 217-4490
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.027415
IL
Other
Enumeration date
06/22/2012
Last updated
02/28/2017
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