Provider Demographics
NPI:1205186350
Name:ANDREWS, SARA ASGHARI (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:ASGHARI
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:ASGHARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:990 LAUREL ST STE A
Mailing Address - Street 2:
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070-3900
Mailing Address - Country:US
Mailing Address - Phone:650-620-9675
Mailing Address - Fax:650-620-9681
Practice Address - Street 1:990 LAUREL ST STE A
Practice Address - Street 2:
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070-3900
Practice Address - Country:US
Practice Address - Phone:650-620-9675
Practice Address - Fax:650-620-9681
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-17
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA612911223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics