Full Name | Estrella Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 247 Dundee Ave, Elgin, 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 |
---|---|
Estrella Dental 1730 Park St Ste 106 Naperville IL 60563-2609 Ph: (847) 488-1100 | Estrella Dental 247 Dundee Ave Elgin IL 60120-4235 Ph: (847) 488-1100 |
NPI Number | 1124382288 |
---|---|
Provider Enumeration Date | 07/03/2012 |
Last Update Date | 12/10/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124382288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 019024809 (Illinois) | Primary |
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