Hanover Dental Pc | |
7640 Barrington Rd Hanover Park IL 60133-2213 | |
(630) 830-2000 | |
(630) 830-9500 |
Full Name | Hanover Dental Pc |
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Speciality | Dentist - General Practice |
Location | 7640 Barrington Rd, Hanover Park, Illinois |
Authorized Official Name and Position | Reem Shafi (OWNER) |
Authorized Official Contact | 6306311790 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hanover Dental Pc 7640 Barrington Rd Hanover Park IL 60133-2213 Ph: (630) 830-2000 | Hanover Dental Pc 7640 Barrington Rd Hanover Park IL 60133-2213 Ph: (630) 830-2000 |
NPI Number | 1811228166 |
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Provider Enumeration Date | 01/27/2010 |
Last Update Date | 01/27/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811228166 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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