Elite Care Dental, P.c.

NPI 1003143017 - Dentist - 122300000X

NPI Details
NPI 1003143017
Enumeration Date 11/11/2009
Last Updated 11/11/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name SHAFAQ SHAFAQ
Position DENTIST/OWNER
Phone (708) 339-9999
Fax
Practice Location
16111 LA SALLE ST
SOUTH HOLLAND IL, 60473-2064, US
Phone (708) 339-9999
Fax
Business Location
16111 LA SALLE ST
SOUTH HOLLAND IL, 60473-2064, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019-026564
Remove 1003143017 NPI Number
 

According to our database, Elite Care Dental, P.c. NPI is 1003143017, taxonomy code is 122300000X and license number is 019-026564, license state is located at Illinois. Elite Care Dental, P.c. physically located at 16111 La Salle St, South Holland IL, 60473-2064. NPI Number 1033115704 has the healthcare provider type.

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1003143017 NPI number is provided on an as is basis without warranty of any kind. 1003143017 is maintained by the National Plan & Provider Enumeration System. The contents of Elite Care Dental, P.c. are for informational purposes only.