Individual
JAGAN NATH SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2345 CLEVELAND AVE, COLUMBUS, OH 43211
(614) 614-4470
Mailing address
2345 CLEVELAND AVE, COLUMBUS, OH 43211-1611
(614) 447-0496
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001129-15
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001129-15
DENTAL LICENCE
WI
Enumeration date
06/18/2015
Last updated
06/29/2018
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