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NPI Code Detail

MEDICARE: SONIA SEHGAL DMD

MEDICARE: SONIA SEHGAL 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
1122300000XDentist31590TX

General Provider Information

NPI Number : 1588139331
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONIA SEHGAL DMD
Provider Business Mailing Address
First Line : 4011 AZURE LN
Second Line :
City : ADDISON
State : TX
Zip : 75001-3108
Country : US
Telephone Number : 647-470-4000
Fax Number :
Provider Business Practice Location Address
First Line : 1717 AIRPORT FWY
Second Line :
City : BEDFORD
State : TX
Zip : 76021-5731
Country : US
Telephone Number : 817-540-2223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2018
Last Update Date : 10/08/2018

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Directions to “ SONIA SEHGAL DMD” Practice Location

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