Provider Demographics
NPI:1932520954
Name:SAOJI, MOHAN
Entity Type:Individual
Prefix:DR
First Name:MOHAN
Middle Name:
Last Name:SAOJI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 HIBISCUS RD
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-5340
Mailing Address - Country:US
Mailing Address - Phone:407-331-8500
Mailing Address - Fax:
Practice Address - Street 1:290 HIBISCUS RD
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-5340
Practice Address - Country:US
Practice Address - Phone:407-331-8500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-17
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN82591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice