Provider Demographics
NPI:1265844575
Name:JAMALI, SABA (DDS)
Entity Type:Individual
Prefix:
First Name:SABA
Middle Name:
Last Name:JAMALI
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 1:23502 BAINFORD CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2412
Mailing Address - Country:US
Mailing Address - Phone:702-579-5770
Mailing Address - Fax:
Practice Address - Street 1:6501 S FRY RD
Practice Address - Street 2:STE 800
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3376
Practice Address - Country:US
Practice Address - Phone:281-574-5005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-21
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6499122300000X
TX247461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist