| Central Dental Associates | |
|
5539 W Cermak Rd Cicero IL 60804-2218 | |
| (708) 652-7575 | |
| (708) 652-7545 |
| Full Name | Central Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 5539 W Cermak Rd, Cicero, Illinois |
| Authorized Official Name and Position | Dipak S Shah (PRESIDENT) |
| Authorized Official Contact | 7086527575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Dental Associates 5539 W Cermak Rd Cicero IL 60804-2218 Ph: (708) 652-7575 | Central Dental Associates 5539 W Cermak Rd Cicero IL 60804-2218 Ph: (708) 652-7575 |
| NPI Number | 1609107010 |
|---|---|
| Provider Enumeration Date | 01/25/2010 |
| Last Update Date | 01/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609107010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019-015412 (Illinois) | Primary |
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