Las Dental Center Ltd

NPI #1588058127 in Wood Dale, Illinois

Provider Information

NPI Number: 1588058127
Entity Type: Organization
Organization Name: Las Dental Center Ltd
Primary Specialty: Dentist
Enumeration Date: Mar 20, 2015
Last Updated: Mar 20, 2015

Practice Location

Address: 425 E IRVING PARK RD
City: Wood Dale
State: Illinois
ZIP Code: 60191-1639
Phone: (630) 595-2880

Authorized Official

Name: AMEE SHAH
Title: DENTIST
Phone: (630) 595-2880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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