Provider Demographics
NPI:1417098088
Name:SANDHU, RAJDEEP K (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAJDEEP
Middle Name:K
Last Name:SANDHU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10804 GAME PRESERVE RD
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-3104
Mailing Address - Country:US
Mailing Address - Phone:301-208-3262
Mailing Address - Fax:
Practice Address - Street 1:19513 DOCTORS DR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-5247
Practice Address - Country:US
Practice Address - Phone:301-972-5000
Practice Address - Fax:301-972-9538
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD138011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice