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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)
(773) 363-6009
Entity
Organization
Contact information
Practice address
1424 E 53RD ST STE 28, SUITE 209, CHICAGO, IL 60615-4553
(773) 363-6009
Mailing address
1424 E 53RD ST STE 28, SUITE 209, CHICAGO, IL 60615-4553
(773) 363-6009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-021911
IL
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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