Provider Demographics
NPI:1063567006
Name:SAHNI, MANVEEN K (DDS)
Entity type:Individual
Prefix:
First Name:MANVEEN
Middle Name:K
Last Name:SAHNI
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 1:1106 PLEASANT VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-2643
Mailing Address - Country:US
Mailing Address - Phone:410-747-0180
Mailing Address - Fax:
Practice Address - Street 1:5 SHIPPING PL
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21222-4312
Practice Address - Country:US
Practice Address - Phone:410-285-6380
Practice Address - Fax:410-285-6382
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD129891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice