Primary Dental Ltd

NPI #1538480900 in Hanover Park, Illinois

Provider Information

NPI Number: 1538480900
Entity Type: Organization
Organization Name: Primary Dental Ltd
Primary Specialty: Dentist
Enumeration Date: Jun 18, 2010
Last Updated: Jun 18, 2010

Practice Location

Address: 1814 IRVING PARK RD
City: Hanover Park
State: Illinois
ZIP Code: 60133-3254
Phone: (630) 660-3233

Authorized Official

Name: DR. KAVITA SHAH
Title: PRESIDENT
Phone: (630) 660-3233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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