| Galleria Dental | |
|
1535 S Lake St Mundelein IL 60060-4210 | |
| (847) 566-1900 | |
| (847) 566-1904 |
| Full Name | Galleria Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1535 S Lake St, Mundelein, 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 |
|---|---|
| Galleria Dental 1730 Park St Ste 106 Naperville IL 60563-2609 Ph: (847) 566-1900 | Galleria Dental 1535 S Lake St Mundelein IL 60060-4210 Ph: (847) 566-1900 |
| NPI Number | 1124428099 |
|---|---|
| Provider Enumeration Date | 08/28/2014 |
| Last Update Date | 12/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124428099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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