NW Dentiq Center P.c

NPI #1609134378 in Round Lake, Illinois

Provider Information

NPI Number
1609134378
Entity Type
Organization
Organization Name
NW Dentiq Center P.c
Primary Specialty
Dentist - General Practice
Enumeration Date
May 1, 2012
Last Updated
May 1, 2012

Practice Location

Address
425 N.WILSON ROAD
ZIP Code
60073
Phone
(847) 740-0217

Authorized Official

Name
DR. KALPIT SHAH, DDS
Title
PRESIDENT
Phone
(847) 740-0217

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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