| NPI | 1962638817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJAN SHARMA Owner 773-363-6009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-021911) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2009-06-05 |