Organization
THE DENTAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJAN SHARMA MSD (PRESDIENT)
(630) 960-4447
Entity
Organization
Contact information
Practice address
5215 OLD ORCHARD RD, SUITE 200, SKOKIE, IL 60077-1035
(847) 663-0400
Mailing address
5215 OLD ORCHARD RD, SUITE 200, SKOKIE, IL 60077-1035
(847) 663-0400
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
021001569
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021001569
IL
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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