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General NPI Number Information
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NPI Number | 1427551050
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Entity Type | Individual
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Provider Name | POOJA GARG
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Gender | Female
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Dates
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Enumeration Date | 03/09/2018
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Last Update Date | 07/26/2021
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Provider Practice Location Address
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Address Line | 3040 W SALT CREEK LN
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-1069
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Country | US
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Telephone | 847-618-5572
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Fax | 847-618-4283
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Provider Business Mailing Address
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Address Line | 7 MARGARET CT
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City | SCHAUMBURG
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State | IL
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Zip | 60194-3553
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 019032019
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License Number State | IL
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