Individual
NITIKA SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
DENTAL VILLAGE, 140 W DUVAL MINE RD, GREEN VALLEY, AZ 85614
(217) 931-2720
Mailing address
140 W DUVAL MINE RD, GREEN VALLEY, AZ 85614-5002
(217) 931-2720
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9899
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/19/2017
Last updated
03/06/2019
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