Individual
ALEX SARPONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
801 S PAULINA ST RM 361, CHICAGO, IL 60612-7210
(312) 996-9223
Mailing address
801 S PAULINA ST RM 361, CHICAGO, IL 60612-7210
(312) 996-9223
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.032643
IL
1223P0700X
Prosthodontics
Primary
019032643
IL
Other
Enumeration date
08/03/2020
Last updated
07/31/2025
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