| NPI | 1700911146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJAN SHARMA Owner 630-960-4447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |