Provider Demographics
NPI:1144238148
Name:BUKHARI, SARA (DDS)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:BUKHARI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4731 E UNION HILLS DR
Mailing Address - Street 2:SUITE 108
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-3310
Mailing Address - Country:US
Mailing Address - Phone:480-389-4215
Mailing Address - Fax:480-383-6199
Practice Address - Street 1:4731 E UNION HILLS DR
Practice Address - Street 2:SUITE 108
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-3310
Practice Address - Country:US
Practice Address - Phone:480-389-4215
Practice Address - Fax:480-383-6199
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZD84871223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02411934Medicaid