Provider Demographics
NPI:1578871646
Name:SOHAL, SHERLY S (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHERLY
Middle Name:S
Last Name:SOHAL
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 1:27001 MOULTON PKWY
Mailing Address - Street 2:SUITE A-118
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92656-3600
Mailing Address - Country:US
Mailing Address - Phone:646-327-0595
Mailing Address - Fax:
Practice Address - Street 1:27001 MOULTON PKWY
Practice Address - Street 2:SUITE A-118
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92656-3600
Practice Address - Country:US
Practice Address - Phone:646-327-0595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA597991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice