Organization
IMPLANT SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJAN SHARMA DDS, MSD (PRESIDENT)
(630) 960-4447
Entity
Organization
Contact information
Practice address
6319 FAIRVIEW AVE, #103, WESTMONT, IL 60559-2888
(630) 960-4447
Mailing address
6319 FAIRVIEW AVE, #103, WESTMONT, IL 60559-2888
(630) 960-4447
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
021001569
IL
1223P0700X
Prosthodontics
021001569
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021001569
IL
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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