Organization
HANOVER PARK DENTAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRALI M PATEL (MEMBER)
(630) 483-7001
Entity
Organization
Contact information
Practice address
1098 E LAKE ST, HANOVER PARK, IL 60133-5431
(630) 483-7001
(630) 483-7041
Mailing address
1098 E LAKE ST, HANOVER PARK, IL 60133-5431
(630) 483-7001
(630) 483-7041
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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