Provider Demographics
NPI:1942027453
Name:MARWAH, SAGAR (DDS)
Entity type:Individual
Prefix:DR
First Name:SAGAR
Middle Name:
Last Name:MARWAH
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 1:511 THE WEST MALL
Mailing Address - Street 2:APT 1107, BUZZER 443
Mailing Address - City:TORONTO
Mailing Address - State:ON
Mailing Address - Zip Code:M9C1G5
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:206 HIGH ST STE D
Practice Address - Street 2:
Practice Address - City:ELLSWORTH
Practice Address - State:ME
Practice Address - Zip Code:04605-1741
Practice Address - Country:US
Practice Address - Phone:207-669-4826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDEN5180122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist