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Individual

SAPNA MATHUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
420 TOWN CENTER PKWY, SLIDELL, LA 70458-8000
(985) 214-1540
Mailing address
1108 JOE YENNI BLVD APT 136, KENNER, LA 70065-1295
(404) 783-1389

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
24220
TX
1223G0001X
General Practice Dentistry
Primary
5257
LA
1223G0001X
General Practice Dentistry
DN013250
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1629144704
DMD
LA
05
197196201
TX
Enumeration date
11/28/2006
Last updated
08/19/2019
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