Healthcare Provider Details

I. General information

NPI: 1346657244
Provider Name (Legal Business Name): NAVJOT SEKHON DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2014
Last Update Date: 09/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15433 HUSTON ST
SHERMAN OAKS CA
91403-1042
US

IV. Provider business mailing address

15433 HUSTON ST
SHERMAN OAKS CA
91403-1042
US

V. Phone/Fax

Practice location:
  • Phone: 323-375-4532
  • Fax:
Mailing address:
  • Phone: 323-375-4532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number63631
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: