Provider Demographics
NPI:1376549014
Name:SINHA, SAURABH KUMAR (DDS)
Entity Type:Individual
Prefix:DR
First Name:SAURABH
Middle Name:KUMAR
Last Name:SINHA
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 1:13216 ACORO PLACE
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-8650
Mailing Address - Country:US
Mailing Address - Phone:714-680-9595
Mailing Address - Fax:
Practice Address - Street 1:508 SOUTH HARBOR BOULEVARD
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92832-2411
Practice Address - Country:US
Practice Address - Phone:714-680-9595
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA333751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice