Dental Shine II P.c
NPI #1568917508 in Plainfield, Illinois
Provider Information
- NPI Number
- 1568917508
- Entity Type
- Organization
- Organization Name
- Dental Shine II P.c
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTAL SHINE II P.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 19, 2016
- Last Updated
- Aug 19, 2016
Practice Location
- Address
- 11830 S ROUTE 59
- Address 2
- SUITE 110
- City
- Plainfield
- State
- Illinois
- ZIP Code
- 60585-5894
- Phone
- (815) 609-0000
Authorized Official
- Name
- FIRAS EL-MUQDAD
- Title
- PRESIDENT
- Phone
- (708) 769-1073
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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