Ketaki Shah, DDS

NPI #1881925329 in Elgin, Illinois

Provider Information

NPI Number: 1881925329
Entity Type: Individual
Name: Ketaki Shah, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 22, 2010
Last Updated: Jan 22, 2010

Practice Location

Address: 615 S RANDALL ROAD
City: Elgin
State: Illinois
ZIP Code: 60123
Phone: (847) 697-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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