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General NPI Number Information
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NPI Number | 1174245062
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Entity Type | Organization
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Legal Business Name | PAVITERJOT K SANDHU DDS INC
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Dates
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Enumeration Date | 09/16/2022
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Last Update Date | 09/16/2022
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Provider Practice Location Address
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Address Line | 1244 N MAIN ST
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City | SALINAS
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State | CA
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Zip | 93906-2827
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Country | US
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Telephone | 916-544-9697
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Fax |
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Provider Business Mailing Address
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Address Line | 27831 NICHOLS RD
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City | GALT
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State | CA
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Zip | 95632-8204
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Country | US
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Telephone | 916-544-9697
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAVITERJOT K SANDHU
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Credential | DDS
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Telephone | 916-544-9697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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