Hanover Park Dental Clinic, LLC
NPI #1841464617 in Hanover Park, Illinois
Provider Information
- NPI Number
- 1841464617
- Entity Type
- Organization
- Organization Name
- Hanover Park Dental Clinic, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 14, 2008
- Last Updated
- Apr 14, 2008
Practice Location
- Address
- 1098 E LAKE ST
- City
- Hanover Park
- State
- Illinois
- ZIP Code
- 60133-5431
- Phone
- (630) 483-7001
Authorized Official
- Name
- DR. SHIRALI M PATEL
- Title
- MEMBER
- Phone
- (630) 483-7001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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