Provider Demographics
NPI:1205191087
Name:CHAROLIA, SAHEGIN K (DDS)
Entity Type:Individual
Prefix:DR
First Name:SAHEGIN
Middle Name:K
Last Name:CHAROLIA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20310 OAKMOSS CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-2569
Mailing Address - Country:US
Mailing Address - Phone:832-863-3313
Mailing Address - Fax:
Practice Address - Street 1:26615 OAK RIDGE DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-1968
Practice Address - Country:US
Practice Address - Phone:281-296-8600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-09
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28099122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist