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NPI Code Detail

MEDICARE: SONIA M SABU DMD

MEDICARE: SONIA M SABU DMD
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
1390200000XStudent in an Organized Health Care Education/Training ProgramPA

General Provider Information

NPI Number : 1154260875
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONIA M SABU DMD
Provider Business Mailing Address
First Line : 1000 E MOUNTAIN BLVD
Second Line :
City : WILKES BARRE
State : PA
Zip : 18711-0027
Country : US
Telephone Number : 856-725-7092
Fax Number :
Provider Business Practice Location Address
First Line : 1000 E MOUNTAIN BLVD
Second Line :
City : WILKES BARRE
State : PA
Zip : 18711-0027
Country : US
Telephone Number : 856-725-7092
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2026
Last Update Date : 03/27/2026

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Directions to “ SONIA M SABU DMD” Practice Location

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