| Primary Dental Ltd | |
|
1814 Irving Park Rd Hanover Park IL 60133-3254 | |
| (630) 660-3233 | |
| Not Available |
| Full Name | Primary Dental Ltd |
|---|---|
| Speciality | Dentist |
| Location | 1814 Irving Park Rd, Hanover Park, Illinois |
| Authorized Official Name and Position | Kavita Shah (PRESIDENT) |
| Authorized Official Contact | 6306603233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Dental Ltd 1256 Lakewood Cir Naperville IL 60540-0996 Ph: (630) 660-3233 | Primary Dental Ltd 1814 Irving Park Rd Hanover Park IL 60133-3254 Ph: (630) 660-3233 |
| NPI Number | 1538480900 |
|---|---|
| Provider Enumeration Date | 06/18/2010 |
| Last Update Date | 06/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538480900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019-026875 (Illinois) | Primary |
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