Provider Demographics
NPI:1609473719
Name:G. SEKHON, A PROFESSIONAL CORP
Entity Type:Organization
Organization Name:G. SEKHON, A PROFESSIONAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GURSIMRAT
Authorized Official - Middle Name:K
Authorized Official - Last Name:SEKHON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:916-691-1650
Mailing Address - Street 1:3031 W MARCH LN STE 206
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95219-6567
Mailing Address - Country:US
Mailing Address - Phone:209-594-0485
Mailing Address - Fax:
Practice Address - Street 1:9307 LAGUNA SPRINGS DR STE 110
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-7845
Practice Address - Country:US
Practice Address - Phone:916-691-1650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:G. SEKHON, A PROFESSIONAL CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-02
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty