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Organization
UNIVERSITY DENTAL ASSOCIATES
Active
Organization
UNIVERSITY DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJAN SHARMA (OWNER)
(708) 991-1218
Entity
Organization
Contact information
Practice address
18213 DIXIE HWY, HOMEWOOD, IL 60430-2205
(708) 991-1218
Mailing address
18213 DIXIE HWY, HOMEWOOD, IL 60430-2205
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-021911
IL
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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