| Deval J Shah DDS Ltd | |
|
1012 E 31st St La Grange Park IL 60526-1217 | |
| (708) 482-3567 | |
| Not Available |
| Full Name | Deval J Shah DDS Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1012 E 31st St, La Grange Park, Illinois |
| Authorized Official Name and Position | Deval Shah (DDS) |
| Authorized Official Contact | 7084823567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deval J Shah DDS Ltd 1012 E 31st St La Grange Park IL 60526-1217 | Deval J Shah DDS Ltd 1012 E 31st St La Grange Park IL 60526-1217 Ph: (708) 482-3567 |
| NPI Number | 1356807515 |
|---|---|
| Provider Enumeration Date | 02/13/2019 |
| Last Update Date | 02/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356807515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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