| Syed Shahabuddin Dds, Pllc | |
|
311 N Bolingbrook Dr Bolingbrook IL 60440-1968 | |
| (630) 914-3505 | |
| Not Available |
| Full Name | Syed Shahabuddin Dds, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 311 N Bolingbrook Dr, Bolingbrook, Illinois |
| Authorized Official Name and Position | Syed Shahabuddin (OWNER) |
| Authorized Official Contact | 6305049431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Syed Shahabuddin Dds, Pllc 183 N Addison Ave Apt 515 Elmhurst IL 60126-3197 Ph: (630) 504-9431 | Syed Shahabuddin Dds, Pllc 311 N Bolingbrook Dr Bolingbrook IL 60440-1968 Ph: (630) 914-3505 |
| NPI Number | 1477260289 |
|---|---|
| Provider Enumeration Date | 11/01/2022 |
| Last Update Date | 11/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477260289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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