Provider Demographics
NPI:1043052020
Name:SONIYA PALAN, DDS, INC
Entity type:Organization
Organization Name:SONIYA PALAN, DDS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SONIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:PALAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-583-7408
Mailing Address - Street 1:2817 CROW CANYON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1639
Mailing Address - Country:US
Mailing Address - Phone:408-583-7408
Mailing Address - Fax:925-361-3335
Practice Address - Street 1:2817 CROW CANYON RD STE 100
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1639
Practice Address - Country:US
Practice Address - Phone:925-361-3337
Practice Address - Fax:925-361-3335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty