Pingree Smile Center | |
2401 W. Rt 20 Ste 103 Pingree Grove IL 60140 | |
(847) 462-4330 | |
Not Available |
Full Name | Pingree Smile Center |
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Speciality | Dentist |
Location | 2401 W. Rt 20, Pingree Grove, Illinois |
Authorized Official Name and Position | Kalpit Shah (DENTIST) |
Authorized Official Contact | 8474624330 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pingree Smile Center 2401 W. Rt 20 Ste 103 Pingree Grove IL 60140 Ph: (847) 462-4330 | Pingree Smile Center 2401 W. Rt 20 Ste 103 Pingree Grove IL 60140 Ph: (847) 462-4330 |
NPI Number | 1073900411 |
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Provider Enumeration Date | 04/23/2015 |
Last Update Date | 04/23/2015 |
Identifier | Type | State | Issuer |
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1073900411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 019028407 (Illinois) | Primary |