Provider Demographics
NPI:1275424236
Name:DOSANJH, SUKHPREET KAUR
Entity type:Individual
Prefix:DR
First Name:SUKHPREET
Middle Name:KAUR
Last Name:DOSANJH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5522 KALISPELL WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-1532
Mailing Address - Country:US
Mailing Address - Phone:916-870-8661
Mailing Address - Fax:
Practice Address - Street 1:4350 MARCONI AVE STE 100
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-4379
Practice Address - Country:US
Practice Address - Phone:916-425-8255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1119531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice