Provider Demographics
NPI:1467856070
Name:SABET, SHARAREH (DMD, MS, MBS)
Entity Type:Individual
Prefix:DR
First Name:SHARAREH
Middle Name:
Last Name:SABET
Suffix:
Gender:F
Credentials:DMD, MS, MBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4521 CAMPUS DR
Mailing Address - Street 2:#371
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-2621
Mailing Address - Country:US
Mailing Address - Phone:949-715-2469
Mailing Address - Fax:
Practice Address - Street 1:4521 CAMPUS DR
Practice Address - Street 2:#371
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-2621
Practice Address - Country:US
Practice Address - Phone:949-715-2469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-10
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA640621223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics