Organization
BROOKFIELD SMILES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAYAL SHAH D.D.S. (PRESIDENT)
(708) 485-7710
Entity
Organization
Contact information
Practice address
8908 OGDEN AVE, BROOKFIELD, IL 60513-2006
(708) 485-7710
(708) 485-7724
Mailing address
8908 OGDEN AVE, BROOKFIELD, IL 60513-2006
(708) 485-7710
(708) 485-7724
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026277
IL
Other
Enumeration date
05/08/2010
Last updated
05/08/2010
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