MEDICARE: SAJITA SINGH BHANDARI

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
1	122300000X	Dentist	37340	TX

General Provider Information

NPI Number	:	1306519566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAJITA SINGH BHANDARI

Provider Business Mailing Address
First Line	:	401 N OLD ORCHARD LN APT 336
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75067-3486
Country	:	US
Telephone Number	:	248-250-4941
Fax Number	:

Provider Business Practice Location Address
First Line	:	1204 N JOSEY LN
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75006-6117
Country	:	US
Telephone Number	:	972-428-0001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2021
Last Update Date	:	07/25/2021

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Directions to “ SAJITA SINGH BHANDARI ” Practice Location

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