Provider Demographics
NPI:1952612228
Name:SAHANI DENTAL LLC
Entity Type:Organization
Organization Name:SAHANI DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JITIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-383-6593
Mailing Address - Street 1:1170 BEACON ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-3963
Mailing Address - Country:US
Mailing Address - Phone:617-383-6593
Mailing Address - Fax:617-383-6594
Practice Address - Street 1:1170 BEACON ST
Practice Address - Street 2:SUITE 110
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-3963
Practice Address - Country:US
Practice Address - Phone:617-383-6593
Practice Address - Fax:617-383-6594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-01
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty