| NPI | 1548640485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJAN SHARMA Presdient 630-960-4447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: IL 021001569) |
| Additional Taxonomies | 1223P0300X Dentist Periodontics (Licence: IL 021001569) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |