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NPI Code Detail

MEDICARE: AURORA FAMILY DENTAL INC

MEDICARE: AURORA FAMILY DENTAL INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry019.26596IL

General Provider Information

NPI Number : 1528380557
Entity Type Code : Organization
Provider Name (Legal Business Name) : AURORA FAMILY DENTAL INC
Provider Business Mailing Address
First Line : 475 N. FARNSWORTH AVE.
Second Line : SUITE 201
City : AURORA
State : IL
Zip : 60505-3005
Country : US
Telephone Number : 630-820-8550
Fax Number :
Provider Business Practice Location Address
First Line : 475 N FARNSWORTH AVE
Second Line : SUITE 201
City : AURORA
State : IL
Zip : 60505-3004
Country : US
Telephone Number : 630-820-8550
Fax Number :
Authorized Official
Title or Position : DENTIST
Name : DR. NEHABEN S SHETH
Credential : D.D.S.
Telephone Number : 630-820-8550
Provider Enumeration Date : 02/18/2010
Last Update Date : 02/18/2010

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Directions to “AURORA FAMILY DENTAL INC ” Practice Location

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