Organization
DENTAL FIELDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NISHU SHARMA (PRESIDENT)
(630) 808-3487
Entity
Organization
Contact information
Practice address
2235 SYCAMORE ROAD, DEKALB, IL 60115
(630) 808-3487
Mailing address
PO BOX 597, SOUTH ELGIN, IL 60177-0597
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028703
IL
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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