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General NPI Number Information
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NPI Number | 1699453480
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Entity Type | Organization
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Legal Business Name | SOHI AND SANDHU DENTAL CORPORATION
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Dates
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Enumeration Date | 07/11/2023
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 2447 MISSION AVE STE B
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City | CARMICHAEL
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State | CA
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Zip | 95608-4994
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Country | US
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Telephone | 703-618-0194
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Fax |
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Provider Business Mailing Address
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Address Line | 4208 KNOTTY PINE PL
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City | ROCKLIN
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State | CA
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Zip | 95765-5732
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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 | OWNER
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Name | DR. GUNCHA SOHI
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Credential | DDS
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Telephone | 703-618-0194
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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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