| Estrella Dental | |
|
247 Dundee Ave Elgin IL 60120-4235 | |
| (847) 488-1100 | |
| (847) 488-1101 |
| Full Name | Estrella Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 247 Dundee Ave, Elgin, Illinois |
| Authorized Official Name and Position | Sohail S Shafi (MANAGER) |
| Authorized Official Contact | 6308423705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Estrella Dental 1730 Park St Ste 106 Naperville IL 60563-2609 Ph: (847) 488-1100 | Estrella Dental 247 Dundee Ave Elgin IL 60120-4235 Ph: (847) 488-1100 |
| NPI Number | 1124382288 |
|---|---|
| Provider Enumeration Date | 07/03/2012 |
| Last Update Date | 12/10/2020 |
| Certification Date | 12/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124382288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019024809 (Illinois) | Primary |
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