| The Dental Specialists | |
|
1424 E 53rd St #209 Chicago IL 60615-4500 | |
| (773) 667-3636 | |
| Not Available |
| Full Name | The Dental Specialists |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1424 E 53rd St, Chicago, Illinois |
| Authorized Official Name and Position | Rajan Sharma (OWNER) |
| Authorized Official Contact | 7736673636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dental Specialists 1424 E 53rd St #209 Chicago IL 60615-4500 Ph: () - | The Dental Specialists 1424 E 53rd St #209 Chicago IL 60615-4500 Ph: (773) 667-3636 |
| NPI Number | 1780810630 |
|---|---|
| Provider Enumeration Date | 06/05/2009 |
| Last Update Date | 06/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780810630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 021-001569 (Illinois) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 021-001569 (Illinois) | Primary |
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