Crest Dental LLC
NPI #1033479126 in Carol Stream, Illinois
Provider Information
- NPI Number
- 1033479126
- Entity Type
- Organization
- Organization Name
- Crest Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 22, 2012
- Last Updated
- May 22, 2012
Practice Location
- Address
- 1354 W ARMY TRAIL RD
- City
- Carol Stream
- State
- Illinois
- ZIP Code
- 60188-4836
- Phone
- (847) 361-2400
Authorized Official
- Name
- DR. AMI K SHAH, D.D.S
- Title
- DENTIST
- Phone
- (847) 361-2400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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