Individual
DR. SONIA GREWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
200 KENDALL DR, LAMAR, CO 81052-3940
(719) 336-0261
(719) 336-0265
Mailing address
201 KENDALL DR, LAMAR, CO 81052-3939
(719) 336-0261
(719) 336-0261
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9716
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92428363
—
CO
Enumeration date
07/24/2008
Last updated
03/07/2023
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