| NPI | 1467688614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJAN SHARMA Owner 708-991-1218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019-021911) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |