Individual
ANDREW SUGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
148 N ADDISON AVE, ELMHURST, IL 60126-2810
(630) 425-4488
Mailing address
148 N ADDISON AVE, ELMHURST, IL 60126-2810
(630) 425-4488
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.031525
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021.003043
IL
Other
Enumeration date
04/06/2016
Last updated
05/02/2024
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