Provider Demographics
NPI:1154682201
Name:MAROGY, SUNDUS Y (BDS, DDS)
Entity Type:Individual
Prefix:DR
First Name:SUNDUS
Middle Name:Y
Last Name:MAROGY
Suffix:
Gender:F
Credentials:BDS, DDS
Other - Prefix:DR
Other - First Name:SUNDUS
Other - Middle Name:
Other - Last Name:MAROGY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:2059 METRO PKWY
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-4204
Mailing Address - Country:US
Mailing Address - Phone:586-275-0133
Mailing Address - Fax:586-275-0429
Practice Address - Street 1:2059 METRO PKWY
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-4204
Practice Address - Country:US
Practice Address - Phone:586-275-0133
Practice Address - Fax:586-275-0429
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2013-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901020700122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist