Provider Demographics
NPI:1326121161
Name:DR SUZANNE SAIDI DDS
Entity Type:Organization
Organization Name:DR SUZANNE SAIDI DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAIDI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-806-0900
Mailing Address - Street 1:2301 CAMINO RAMON
Mailing Address - Street 2:SUITE 260 BISHOP RANCH 11
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583
Mailing Address - Country:US
Mailing Address - Phone:925-806-0900
Mailing Address - Fax:925-806-0909
Practice Address - Street 1:2301 CAMINO RAMON
Practice Address - Street 2:SUITE 260 BISHOP RANCH 11
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583
Practice Address - Country:US
Practice Address - Phone:925-806-0900
Practice Address - Fax:925-806-0909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40723122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty