Organization
HANOVER DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REEM SHAFI DDS (OWNER)
(630) 631-1790
Entity
Organization
Contact information
Practice address
7640 BARRINGTON RD, HANOVER PARK, IL 60133-2213
(630) 830-2000
(630) 830-9500
Mailing address
7640 BARRINGTON RD, HANOVER PARK, IL 60133-2213
(630) 830-2000
(630) 830-9500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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