Organization
DR. SIVAN PATEL D.M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIVAN PATEL D.M.D. (DENTIST)
(847) 532-8990
Entity
Organization
Contact information
Practice address
1533 ELLINWOOD AVE, DES PLAINES, IL 60016-4553
(847) 297-0808
Mailing address
1545 SHORT TER, DES PLAINES, IL 60018-5558
(847) 532-8990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028147
IL
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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