Organization
HUB FAMILY DENTAL
Active
Parent organization
ENAMEL-WORKS
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENAMEL-WORKS
Authorized official
DR. SHAZEEN M PARDESI DDS (VICE PRESIDENT)
(815) 262-4540
Entity
Organization
Contact information
Practice address
409 LINCOLN HIGHWAY, ROCHELLE, IL 61068
(815) 561-6058
Mailing address
409 LINCOLN HWY, ROCHELLE, IL 61068-1642
(815) 561-6058
(815) 524-2567
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030152
IL
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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