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Organization

KALPANA T. SHAH, DMD, PC

Active
Other names
Primary Family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
KALPANA SHAH D.M.D. (PRESIDENT)
(815) 727-5813
Entity
Organization

Contact information

Practice address
2025 S CHICAGO ST, JOLIET, IL 60436-3172
(815) 727-5813
(815) 727-7260
Mailing address
2025 S CHICAGO ST, JOLIET, IL 60436-3172
(815) 727-5813
(815) 727-7260

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019025713
IL

Other

Enumeration date
07/21/2009
Last updated
07/21/2009
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