Provider Demographics
NPI:1063157162
Name:CHAWLA, SACHI (DDS)
Entity type:Individual
Prefix:DR
First Name:SACHI
Middle Name:
Last Name:CHAWLA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 LAKE CAROLYN PKWY APT 4102
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-4804
Mailing Address - Country:US
Mailing Address - Phone:909-272-5764
Mailing Address - Fax:
Practice Address - Street 1:1000 LAKE CAROLYN PKWY APT 4102
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-4804
Practice Address - Country:US
Practice Address - Phone:909-272-5764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38039122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist