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NPI Code Detail

MEDICARE: SUMEET SANDHU DDS

MEDICARE: SUMEET SANDHU DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry65081CA

General Provider Information

NPI Number : 1043682370
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUMEET SANDHU DDS
Provider Business Mailing Address
First Line : PO BOX 83
Second Line :
City : KINGSBURG
State : CA
Zip : 93631-0083
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6660 LONE TREE WAY STE 7
Second Line :
City : BRENTWOOD
State : CA
Zip : 94513-5310
Country : US
Telephone Number : 415-580-0337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2015
Last Update Date : 04/21/2016

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Directions to “ SUMEET SANDHU DDS” Practice Location

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