Provider Demographics
NPI:1154585693
Name:DOSANJH, MONICA SONIA KAUR (BSC, DMD)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:SONIA KAUR
Last Name:DOSANJH
Suffix:
Gender:F
Credentials:BSC, DMD
Other - Prefix:DR
Other - First Name:MONICA
Other - Middle Name:SONIA KAUR
Other - Last Name:CHATTHA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSC, DMD
Mailing Address - Street 1:263 FARMINGTON AVE
Mailing Address - Street 2:DIVISION OF ORTHODONTICS
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06030-1725
Mailing Address - Country:US
Mailing Address - Phone:860-967-7212
Mailing Address - Fax:
Practice Address - Street 1:263 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06030
Practice Address - Country:US
Practice Address - Phone:860-679-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program