Organization
BANSRI SHROFF, DMD PC
Active
Other names
Radiant Dental
Organization subpart
No
Provider details
NPI number
Authorized official
BANSRI SHROFF DMD (DENTIST/PRESIDENT)
(630) 226-1100
Entity
Organization
Contact information
Practice address
899 S WEBER RD, SUITE B, BOLINGBROOK, IL 60490-5488
(630) 226-1100
(630) 863-7499
Mailing address
899 S WEBER RD, SUITE B, BOLINGBROOK, IL 60490-5488
(630) 226-1100
(630) 863-7499
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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