Organization
A BRUSH WITH DENTISTRY II, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAILEE S PATEL (OWNER)
(312) 217-4490
Entity
Organization
Contact information
Practice address
108 N PEORIA AVE, DIXON, IL 61021-2027
(815) 288-1418
(815) 288-1419
Mailing address
108 N PEORIA AVE, DIXON, IL 61021-2027
(815) 288-1418
(815) 288-1419
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019-027415
IL
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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