Provider Demographics
NPI:1154505527
Name:ELNAJJAR, SAHAR I (DDS)
Entity Type:Individual
Prefix:MRS
First Name:SAHAR
Middle Name:I
Last Name:ELNAJJAR
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 1:39 OSBORNE AVE
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-3107
Mailing Address - Country:US
Mailing Address - Phone:504-471-0085
Mailing Address - Fax:
Practice Address - Street 1:3531 RIDGELAKE DR
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-3615
Practice Address - Country:US
Practice Address - Phone:504-831-3390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-20
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA58521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice