Island Lake Dental LLC
NPI #1376304626 in Island Lake, Illinois
Provider Information
- NPI Number
- 1376304626
- Entity Type
- Organization
- Organization Name
- Island Lake Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 23, 2024
- Last Updated
- Jan 23, 2024
Practice Location
- Address
- 510 AUBURN DR STE D
- City
- Island Lake
- State
- Illinois
- ZIP Code
- 60042-9105
- Phone
- (630) 765-1762
Authorized Official
- Name
- DR. NIKHAR SHAH, DMD
- Title
- PRESIDENT
- Phone
- (630) 765-1762
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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