Provider Demographics
NPI:1063019669
Name:SONA SMILES PC
Entity type:Organization
Organization Name:SONA SMILES PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNEETA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANNAMAREDDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-840-1101
Mailing Address - Street 1:10450 E. RIGGS RD. #118
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248
Mailing Address - Country:US
Mailing Address - Phone:480-840-1101
Mailing Address - Fax:480-269-9178
Practice Address - Street 1:10450 E. RIGGS RD. #118
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248
Practice Address - Country:US
Practice Address - Phone:480-840-1101
Practice Address - Fax:480-269-9178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZD008283OtherANU MAHAJAN
AZD7349OtherPRABSHARAN SANDHU
AZD0714OtherSUNEETA ANNAMAREDDY