MEDICARE: CHEEMA AND SANDHU DENTAL CORP

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1982580163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHEEMA AND SANDHU DENTAL CORP

Provider Business Mailing Address
First Line	:	3526 MANTHEY RD STE H
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95206-5301
Country	:	US
Telephone Number	:	209-225-5209
Fax Number	:

Provider Business Practice Location Address
First Line	:	3526 MANTHEY RD STE H
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95206-5301
Country	:	US
Telephone Number	:	209-225-5209
Fax Number	:

Authorized Official
Title or Position	:	HR MANAGER
Name	:	VANIY ABRAM
Credential	:
Telephone Number	:	209-225-5209

Provider Enumeration Date	:	08/13/2025
Last Update Date	:	08/13/2025

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Directions to “CHEEMA AND SANDHU DENTAL CORP ” Practice Location

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