Individual
DR. IVRAJ SANDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
20359 N 59TH AVE STE 101, GLENDALE, AZ 85308-6857
(623) 362-2960
Mailing address
20359 N 59TH AVE STE 101, GLENDALE, AZ 85308-6857
(623) 362-2960
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010879
AZ
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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