Provider Demographics
NPI:1245881697
Name:DHAR, SOHINI
Entity type:Individual
Prefix:
First Name:SOHINI
Middle Name:
Last Name:DHAR
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 1:2707 RIVENDELL WAY
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-2080
Mailing Address - Country:US
Mailing Address - Phone:270-792-2813
Mailing Address - Fax:
Practice Address - Street 1:300 E CENTRAL TEXAS EXPY STE 300
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-3052
Practice Address - Country:US
Practice Address - Phone:270-792-2183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-26
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX305401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice