Provider Demographics
NPI:1770922718
Name:SOHI, ATTINDER KAUR
Entity type:Individual
Prefix:
First Name:ATTINDER
Middle Name:KAUR
Last Name:SOHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2717 ORCHARD AVE APT 16
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90007-2361
Mailing Address - Country:US
Mailing Address - Phone:213-327-5638
Mailing Address - Fax:
Practice Address - Street 1:2717 ORCHARD AVE APT 16
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90007-2361
Practice Address - Country:US
Practice Address - Phone:213-327-5638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX292021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice