Healthcare Provider Details
I. General information
NPI: 1730458431
Provider Name (Legal Business Name): SANHITA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/26/2011
Last Update Date: 12/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1740 N OLDEN AVENUE EXT STE A7
EWING NJ
08638-3110
US
IV. Provider business mailing address
1740 N OLDEN AVENUE EXT STE A7
EWING NJ
08638-3110
US
V. Phone/Fax
- Phone: 609-844-1223
- Fax: 609-844-1227
- Phone: 609-844-1223
- Fax: 609-844-1227
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOYTILAK
MAJUMDAR
Title or Position: OWNER
Credential: DMD
Phone: 609-844-1223