| NPI | 1558993758 |
|---|---|
| Former Legal Business Name | KING DENTAL, PC |
| Entity Type | Organization |
| Authorized Contact | NISHU SHARMA Dentist 312-313-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-10-13 |