Provider Demographics
NPI:1306174321
Name:SAHOTA, TARNJEET (DMD)
Entity type:Individual
Prefix:DR
First Name:TARNJEET
Middle Name:
Last Name:SAHOTA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37510 21ST AVE S
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-7586
Mailing Address - Country:US
Mailing Address - Phone:253-925-5229
Mailing Address - Fax:
Practice Address - Street 1:37510 21ST AVE S
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-7586
Practice Address - Country:US
Practice Address - Phone:253-925-5229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-02
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60108811122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist