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NPI Code Detail

MEDICARE: SANA SULTAN LODHI DMD

MEDICARE: SANA SULTAN LODHI 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
11223G0001XGeneral Practice DentistryD012258AZ

General Provider Information

NPI Number : 1639907801
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANA SULTAN LODHI DMD
Provider Business Mailing Address
First Line : 9501 S STANLEY PL
Second Line :
City : TEMPE
State : AZ
Zip : 85284-4111
Country : US
Telephone Number : 602-814-3226
Fax Number :
Provider Business Practice Location Address
First Line : 2025 N POWER RD
Second Line :
City : MESA
State : AZ
Zip : 85215-2913
Country : US
Telephone Number : 480-964-1560
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2024
Last Update Date : 07/22/2024

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Directions to “ SANA SULTAN LODHI DMD” Practice Location

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