Organization
GENTLE DENTAL GROUP
Active
Parent organization
TWO RIVERS DENTAL PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TWO RIVERS DENTAL PC
Authorized official
SOHAIL S SHAFI (MANAGER)
(630) 842-3705
Entity
Organization
Contact information
Practice address
608 E VETERANS PKWY STE 5, YORKVILLE, IL 60560-1893
(630) 553-3800
(630) 553-3887
Mailing address
1730 PARK ST STE 106, NAPERVILLE, IL 60563-2609
(630) 553-3800
(630) 553-3887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/27/2010
Last updated
12/10/2020
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