| University Dental Associates | |
|
18213 Dixie Hwy Homewood IL 60430-2205 | |
| (708) 991-1218 | |
| Not Available |
| Full Name | University Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18213 Dixie Hwy, Homewood, Illinois |
| Authorized Official Name and Position | Rajan Sharma (OWNER) |
| Authorized Official Contact | 7089911218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Dental Associates 18213 Dixie Hwy Homewood IL 60430-2205 Ph: () - | University Dental Associates 18213 Dixie Hwy Homewood IL 60430-2205 Ph: (708) 991-1218 |
| NPI Number | 1467688614 |
|---|---|
| Provider Enumeration Date | 06/02/2009 |
| Last Update Date | 06/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467688614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019-021911 (Illinois) | Primary |
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