Provider Demographics
NPI:1306370572
Name:SONU LAMBA AND PAUL S KAHLON, PS
Entity Type:Organization
Organization Name:SONU LAMBA AND PAUL S KAHLON, PS
Other - Org Name:STELLAR KIDS DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SONU
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMBA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-290-5500
Mailing Address - Street 1:13209 44TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-8985
Mailing Address - Country:US
Mailing Address - Phone:425-290-5500
Mailing Address - Fax:425-290-5510
Practice Address - Street 1:13209 44TH AVE SE
Practice Address - Street 2:
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-8985
Practice Address - Country:US
Practice Address - Phone:425-290-5500
Practice Address - Fax:425-290-5510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-14
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty