Provider Demographics
NPI:1225232002
Name:MESTMAN, SADIE (DDS)
Entity Type:Individual
Prefix:
First Name:SADIE
Middle Name:
Last Name:MESTMAN
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 1:8500 WILSHIRE BLVD STE 827
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3106
Mailing Address - Country:US
Mailing Address - Phone:310-657-5090
Mailing Address - Fax:310-657-3688
Practice Address - Street 1:8500 WILSHIRE BLVD STE 827
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3106
Practice Address - Country:US
Practice Address - Phone:310-657-5090
Practice Address - Fax:310-657-3688
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2022-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADZ32136122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist