Provider Demographics
NPI:1376930172
Name:LAHOTI, SONALI (DDS)
Entity Type:Individual
Prefix:
First Name:SONALI
Middle Name:
Last Name:LAHOTI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:SONALI
Other - Middle Name:
Other - Last Name:MAHESHWARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BDS
Mailing Address - Street 1:133 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-6249
Mailing Address - Country:US
Mailing Address - Phone:978-458-1179
Mailing Address - Fax:
Practice Address - Street 1:133 MARKET ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-6249
Practice Address - Country:US
Practice Address - Phone:978-458-1179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-20
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18574341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice