Provider Demographics
NPI:1457160848
Name:ATWAL PUREWAL, SAHIBA (DDS)
Entity type:Individual
Prefix:DR
First Name:SAHIBA
Middle Name:
Last Name:ATWAL PUREWAL
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 1:746 LIVINGSTON AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-2385
Mailing Address - Country:US
Mailing Address - Phone:732-402-6209
Mailing Address - Fax:
Practice Address - Street 1:746 LIVINGSTON AVE
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-2385
Practice Address - Country:US
Practice Address - Phone:732-402-6209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-31
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0644721223G0001X
NJ22DI030662001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice