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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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