Individual
ANDEEP SANGHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3246 W GRANT LINE RD, TRACY, CA 95304-8427
(209) 213-7808
Mailing address
2473 DETERT ST, LIVERMORE, CA 94550-2515
(317) 997-1769
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
109422
CA
122300000X
Dentist
12013845A
IN
1223G0001X
General Practice Dentistry
109422
CA
1223G0001X
General Practice Dentistry
12013845A
IN
Other
Enumeration date
07/27/2022
Last updated
09/18/2023
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