Organization
KALPANA T. SHAH, DMD, PC
Active
Other names
PRIMARY FAMILY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KALPANA SHAH DMD (PRESIDENT)
(815) 727-5813
Entity
Organization
Contact information
Practice address
1000 W JEFFERSON ST, 101, JOLIET, IL 60435-6812
(815) 727-5813
(779) 205-3423
Mailing address
1000 W JEFFERSON ST, 101, JOLIET, IL 60435-6812
(815) 727-5813
(779) 205-3423
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019025713
IL
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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