Provider Demographics
NPI:1407191604
Name:SARAN, NEERAJ (DMD)
Entity Type:Individual
Prefix:DR
First Name:NEERAJ
Middle Name:
Last Name:SARAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72333 HIGHWAY 111
Mailing Address - Street 2:SUITE B
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-2790
Mailing Address - Country:US
Mailing Address - Phone:760-674-9666
Mailing Address - Fax:
Practice Address - Street 1:72333 HIGHWAY 111
Practice Address - Street 2:SUITE B
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-2790
Practice Address - Country:US
Practice Address - Phone:760-674-9666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-29
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61970122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist