Individual
SARAH KANCHWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
271 HERITAGE WALK, WOODSTOCK, GA 30188-3876
(770) 924-0423
Mailing address
271 HERITAGE WALK, WOODSTOCK, GA 30188-3876
(630) 770-1653
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN124128
GA
1223G0001X
General Practice Dentistry
Primary
019.034386
IL
1223G0001X
General Practice Dentistry
600142515
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/10/2022
Last updated
07/10/2026
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