Provider Demographics
NPI:1417683194
Name:PALLAVI SARAF, D.M.D., PLLC
Entity Type:Organization
Organization Name:PALLAVI SARAF, D.M.D., PLLC
Other - Org Name:MAGNOLIA SLEEP SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PALLAVI
Authorized Official - Middle Name:
Authorized Official - Last Name:SARAF
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:770-815-9941
Mailing Address - Street 1:3901 OLEANDER DR STE C
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-6712
Mailing Address - Country:US
Mailing Address - Phone:770-815-9941
Mailing Address - Fax:
Practice Address - Street 1:3901 OLEANDER DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-6733
Practice Address - Country:US
Practice Address - Phone:770-815-9941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-26
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No122300000XDental ProvidersDentistGroup - Multi-Specialty