Individual
SONALI SURESH SAPARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 N WASHINGTON ST, LA GRANGE, TX 78945-2627
(979) 968-5813
Mailing address
14925 CORDERO DR, AUSTIN, TX 78717-4537
(919) 274-7299
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
40298
TX
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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