Organization
KING DENTAL, PC
Active
Other names
King Dental, PC
Organization subpart
No
Provider details
NPI number
Authorized official
NISHU SHARMA (DENTIST)
(312) 313-9777
Entity
Organization
Contact information
Practice address
3425 S KING DR, CHICAGO, IL 60616
(312) 313-9777
(312) 736-0867
Mailing address
3425 S KING DR, CHICAGO, IL 60616
(312) 313-9777
(312) 736-0867
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
10/13/2020
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