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Organization
SMILE EXPERTS DENTAL ASSOCIATES
Active
Organization
SMILE EXPERTS DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEETAL SHARMA D.D.S. (DOCTOR)
(630) 901-7784
Entity
Organization
Contact information
Practice address
1515 W WALNUT ST, JACKSONVILLE, IL 62650-1150
(217) 245-1190
(217) 291-0401
Mailing address
1515 W WALNUT ST, JACKSONVILLE, IL 62650-1150
(217) 245-1190
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
019028573
IL
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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