Individual
FAHIMEH SANATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 MAIN ST NW STE D, LOS LUNAS, NM 87031-4891
(888) 988-4066
Mailing address
2050 E ALGONQUIN RD STE 610, SCHAUMBURG, IL 60173-4166
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD5286
NM
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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