Organization
ANDERSONVILLE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA SHAHIN DDS (OWNER)
(773) 334-4200
Entity
Organization
Contact information
Practice address
1700 W FOSTER, CHICAGO, IL 60640
(773) 334-4200
(773) 334-4532
Mailing address
1700 W FOSTER AVE, CHICAGO, IL 60640
(773) 334-4200
(773) 334-4532
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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