Provider Demographics
NPI:1255855888
Name:GHAMSARI, SAHAR (DDS)
Entity Type:Individual
Prefix:
First Name:SAHAR
Middle Name:
Last Name:GHAMSARI
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 1:1367 BEAUJOLAIS LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-3113
Mailing Address - Country:US
Mailing Address - Phone:281-948-4961
Mailing Address - Fax:
Practice Address - Street 1:25621 NELSON WAY STE 110
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5388
Practice Address - Country:US
Practice Address - Phone:281-392-8222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-26
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33083122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist