Organization
BERWYN OAK PARK FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAYAL SHAH D.D.S. (PRESIDENT)
(708) 788-6768
Entity
Organization
Contact information
Practice address
3240 OAK PARK AVE, BERWYN, IL 60402-5470
(708) 788-6768
(708) 788-3666
Mailing address
3240 OAK PARK AVE, BERWYN, IL 60402-5470
(708) 788-6768
(708) 788-3666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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