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NPI Code Detail

MEDICARE: DR. JASDEEP S SAGOO DDS

MEDICARE: DR. JASDEEP S SAGOO 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 Dentistry54199CA

General Provider Information

NPI Number : 1588719793
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASDEEP S SAGOO DDS
Provider Business Mailing Address
First Line : 44750 60TH ST W
Second Line :
City : LANCASTER
State : CA
Zip : 93536-7619
Country : US
Telephone Number : 661-729-2000
Fax Number :
Provider Business Practice Location Address
First Line : 44750 60TH ST W
Second Line :
City : LANCASTER
State : CA
Zip : 93536-7619
Country : US
Telephone Number : 661-729-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2007
Last Update Date : 12/28/2022

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