Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgeon | 2901020979 | MI |
NPI | 1386938132 |
---|---|
Provider Name | Dr. Sanjot Lehal |
First Address | Hartland, MI 48353-2726 |
Second Address | Waterford, MI 48328-1281 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2011 |
Last Update Date | 29/11/2021 |