Provider Demographics
NPI:1922146406
Name:BAJAJ, SUNITA (DDS)
Entity Type:Individual
Prefix:
First Name:SUNITA
Middle Name:
Last Name:BAJAJ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:SUNITA
Other - Middle Name:
Other - Last Name:SAHGAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1560 SUNNYVALE SARATOGA RD
Mailing Address - Street 2:STE 200
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-4597
Mailing Address - Country:US
Mailing Address - Phone:408-245-7878
Mailing Address - Fax:408-245-7452
Practice Address - Street 1:1560 SUNNYVALE SARATOGA RD
Practice Address - Street 2:STE 200
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-4597
Practice Address - Country:US
Practice Address - Phone:408-245-7878
Practice Address - Fax:408-245-7452
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA421181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice