| Nw Dentiq Center P.c | |
|
425 N.wilson Road Round Lake IL 60073 | |
| (847) 740-0217 | |
| Not Available |
| Full Name | Nw Dentiq Center P.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 425 N.wilson Road, Round Lake, Illinois |
| Authorized Official Name and Position | Kalpit Shah (PRESIDENT) |
| Authorized Official Contact | 8477400217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nw Dentiq Center P.c 425 N.wilson Road Round Lake IL 60073 Ph: (847) 740-0217 | Nw Dentiq Center P.c 425 N.wilson Road Round Lake IL 60073 Ph: (847) 740-0217 |
| NPI Number | 1609134378 |
|---|---|
| Provider Enumeration Date | 05/01/2012 |
| Last Update Date | 05/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609134378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019028407 (Illinois) | Primary |
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