Provider Demographics
NPI:1619399326
Name:SANDHU, JASWINDER (DDS)
Entity Type:Individual
Prefix:
First Name:JASWINDER
Middle Name:
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 1:2701 DECOTO RD STE 1A
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-4940
Mailing Address - Country:US
Mailing Address - Phone:510-952-9395
Mailing Address - Fax:510-936-9390
Practice Address - Street 1:2701 DECOTO RD STE 1A
Practice Address - Street 2:SUITE 1A
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-4940
Practice Address - Country:US
Practice Address - Phone:510-952-9395
Practice Address - Fax:510-936-9390
Is Sole Proprietor?:No
Enumeration Date:2014-01-15
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA631321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice