Provider Demographics
NPI:1477988269
Name:SAH, PAULINE (DDS)
Entity Type:Individual
Prefix:
First Name:PAULINE
Middle Name:
Last Name:SAH
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 1:24345 GOSLING ROAD
Mailing Address - Street 2:110-A
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-2583
Mailing Address - Country:US
Mailing Address - Phone:713-944-0520
Mailing Address - Fax:281-205-7710
Practice Address - Street 1:24345 GOSLING ROAD
Practice Address - Street 2:110-A
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-7738
Practice Address - Country:US
Practice Address - Phone:713-944-0520
Practice Address - Fax:281-205-7710
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-11
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX293941223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice