Organization
CREST DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMYA SHETTY DDS (PRESIDENT)
(408) 480-4383
Entity
Organization
Contact information
Practice address
1354 W ARMY TRAIL RD, CAROL STREAM, IL 60188-4836
(408) 480-4383
Mailing address
2712 COTTON CREEK CT, NAPERVILLE, IL 60564-4625
(408) 480-4383
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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