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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 DDS, MSD (OWNER)
(847) 663-0400
Entity
Organization
Contact information
Practice address
5215 OLD ORCHARD RD STE 200, SKOKIE, IL 60077-1041
(847) 663-0400
Mailing address
5215 OLD ORCHARD RD STE 200, SKOKIE, IL 60077-1041
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
319.018942
IL
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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