| NPI | 1538410451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJAN SHARMA President 219-924-5022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 021001569) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: IL 021001569) |
| 1223P0700X Dentist, Prosthodontics (Licence: IL 021001569) | |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |