Provider Demographics
NPI:1952534737
Name:KOLAR, SUKHBIR S (DDS)
Entity Type:Individual
Prefix:
First Name:SUKHBIR
Middle Name:S
Last Name:KOLAR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2611 W MAPLEWOOD AVE
Mailing Address - Street 2:206
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-8822
Mailing Address - Country:US
Mailing Address - Phone:360-599-4378
Mailing Address - Fax:
Practice Address - Street 1:2611 W MAPLEWOOD AVE
Practice Address - Street 2:#206
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-8822
Practice Address - Country:US
Practice Address - Phone:360-599-4378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-27
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA585131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice