Berwyn Oak Park Family Dentistry

NPI #1932384211 in Berwyn, Illinois

Provider Information

NPI Number: 1932384211
Entity Type: Organization
Organization Name: Berwyn Oak Park Family Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 4, 2008
Last Updated: Jan 4, 2008

Practice Location

Address: 3240 OAK PARK AVE
City: Berwyn
State: Illinois
ZIP Code: 60402-5470
Phone: (708) 788-6768

Authorized Official

Name: DR. PAYAL SHAH, D.D.S.
Title: PRESIDENT
Phone: (708) 788-6768

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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