| NPI | 1659654127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJAN SHARMA President 262-798-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: WI 2678-015) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |