Provider Demographics
NPI:1215738752
Name:NANCHAHAL, MONIKA
Entity type:Individual
Prefix:
First Name:MONIKA
Middle Name:
Last Name:NANCHAHAL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 BIANCA CIR
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-2201
Mailing Address - Country:US
Mailing Address - Phone:484-757-7557
Mailing Address - Fax:
Practice Address - Street 1:413 BIANCA CIR
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-2201
Practice Address - Country:US
Practice Address - Phone:484-757-7557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-21
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA111351122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist