Provider Demographics
NPI:1164639555
Name:ATANI, SOBHA R (DDS)
Entity Type:Individual
Prefix:DR
First Name:SOBHA
Middle Name:R
Last Name:ATANI
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 1:831 CASS ST
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-2904
Mailing Address - Country:US
Mailing Address - Phone:831-373-1279
Mailing Address - Fax:831-373-1270
Practice Address - Street 1:831 CASS ST
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-2904
Practice Address - Country:US
Practice Address - Phone:831-373-1279
Practice Address - Fax:831-373-1270
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA482241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD48224OtherDENTI-CAL