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Shahrbanoo Fadavi, DDS,MS
Pediatric Dentist in Skokie, Illinois
NPI 1750461737

Shahrbanoo Fadavi is a Pediatric Dentist based in Wilmette, IL and is specialized in Pediatric Dentistry. Shahrbanoo Fadavi practices in Skokie, IL and has the professional credentials of DDS,MS. The NPI Number for Shahrbanoo Fadavi is 1750461737 and holds a License No. (Illinois).

The current practice location address for Shahrbanoo Fadavi is 4833 Church St, Skokie, IL and can be reached out via phone at 847-673-7118. You can also correspond with Shahrbanoo Fadavi through the mailing address at 2429 MEADOW DR N, WILMETTE, IL - 60091-2253 (mailing address contact number: ).

Location: 4833 Church St, Skokie, IL, 60091-2253
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750461737
Provider Name
Shahrbanoo Fadavi
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Female
Address
4833 Church St, Skokie, IL, 60091-2253
Phone Number
847-673-7118
Fax Number
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4833 Church St
City
Skokie
State
Illinois
Zip
60077-1357
Phone Number
847-673-7118
Fax Number
person
Provider Business Mailing Address Details
Address
2429 Meadow Dr N
City
Wilmette
State
Illinois
Zip
60091-2253
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
(Illinois)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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