Round Lake Family Dentistry | |
425 N.wilson Road Round Lake IL 60073 | |
(847) 740-0217 | |
Not Available |
Full Name | Round Lake Family Dentistry |
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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 |
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Round Lake Family Dentistry 425 N.wilson Road Round Lake IL 60073 Ph: (847) 740-0217 | Round Lake Family Dentistry 425 N.wilson Road Round Lake IL 60073 Ph: (847) 740-0217 |
NPI Number | 1609134378 |
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Provider Enumeration Date | 05/01/2012 |
Last Update Date | 05/01/2012 |
Identifier | Type | State | Issuer |
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1609134378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 019028407 (Illinois) | Primary |
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