Dipak S Shah DDS Ltd

NPI #1609107010 in Cicero, Illinois

Provider Information

NPI Number: 1609107010
Entity Type: Organization
Organization Name: Dipak S Shah DDS Ltd
Primary Specialty: Dentist
Enumeration Date: Jan 25, 2010
Last Updated: Jan 25, 2010

Practice Location

Address: 5539 W CERMAK RD
City: Cicero
State: Illinois
ZIP Code: 60804-2218
Phone: (708) 652-7575

Authorized Official

Name: DR. DIPAK S SHAH, DDS
Title: PRESIDENT
Phone: (708) 652-7575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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