Provider Demographics
NPI:1396186425
Name:PACHA, SARAH (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:PACHA
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 1:3901 WOODCHASE DR
Mailing Address - Street 2:#46
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-5802
Mailing Address - Country:US
Mailing Address - Phone:281-797-9442
Mailing Address - Fax:
Practice Address - Street 1:3901 WOODCHASE DR
Practice Address - Street 2:#46
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-5802
Practice Address - Country:US
Practice Address - Phone:281-797-9442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX292771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice