Organization
KRUPALI SHAH DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRUPALI N SHAH DDS (PRESIDENT)
(773) 407-1004
Entity
Organization
Contact information
Practice address
409 E EUCLID AVE, UNIT B, MOUNT PROSPECT, IL 60056-1214
(847) 342-1999
(847) 342-8990
Mailing address
409 E EUCLID AVE, UNIT B, MOUNT PROSPECT, IL 60056-1214
(847) 342-1999
(847) 342-8990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027638
IL
Other
Enumeration date
05/23/2008
Last updated
03/26/2009
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