| NPI | 1821317421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANKUR VINOD SHAH Dentist 847-800-3604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019027891) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2010-05-20 |