Individual
SONNY KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1070 SAINT JAMES AVE STE D, SPRINGFIELD, MA 01104-1453
(413) 737-5665
(413) 737-5781
Mailing address
1070 SAINT JAMES AVE STE D, SPRINGFIELD, MA 01104-1453
(413) 737-5665
(413) 737-5781
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
000013-2
NY
1223G0001X
General Practice Dentistry
Primary
DN19960
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110011763A
—
MA
Enumeration date
09/09/2005
Last updated
07/21/2022
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