Individual
SAPNA PANWAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4039 W NORTH AVE, CHICAGO, IL 60639-5219
(408) 421-9331
Mailing address
730 S CLARK ST APT 1409, CHICAGO, IL 60605-1750
(408) 421-9331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033664
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2022
Last updated
06/20/2022
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