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General NPI Number Information
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NPI Number | 1508501388
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Entity Type | Organization
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Legal Business Name | DR PUNEET SANDHU DDS,INC.
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Dates
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Enumeration Date | 05/04/2022
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Last Update Date | 05/04/2022
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Provider Practice Location Address
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Address Line | 826 ALTOS OAKS DR STE 2
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City | LOS ALTOS
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State | CA
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Zip | 94024-5414
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Country | US
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Telephone | 650-948-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 826 ALTOS OAKS DR STE 2
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City | LOS ALTOS
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State | CA
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Zip | 94024-5414
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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 | DENTIST OWNER
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Name | PUNEET SANDHU
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Credential | DDS
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Telephone | 714-220-7773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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