Individual
HENNA SANGHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1537 S SCATTERFIELD RD # 2, ANDERSON, IN 46016-5766
(260) 399-1333
Mailing address
1537 S SCATTERFIELD RD # 2, ANDERSON, IN 46016-5766
(260) 399-1333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012639A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12012639A
STATE OF INDIANA LICENSE
IN
Enumeration date
01/27/2017
Last updated
01/27/2017
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