| Two Rivers Dental | |
|
1196 W Boughton Rd Bolingbrook IL 60440-6567 | |
| (630) 759-9929 | |
| (630) 759-9922 |
| Full Name | Two Rivers Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1196 W Boughton Rd, Bolingbrook, 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 |
|---|---|
| Two Rivers Dental 1730 Park St Ste 106 Naperville IL 60563-2609 Ph: (630) 759-9929 | Two Rivers Dental 1196 W Boughton Rd Bolingbrook IL 60440-6567 Ph: (630) 759-9929 |
| NPI Number | 1760712855 |
|---|---|
| Provider Enumeration Date | 01/12/2010 |
| Last Update Date | 12/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760712855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019024809 (Illinois) | Primary |
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