Provider Demographics
NPI:1497099253
Name:AURANGZEB, SAHAR (DDS)
Entity Type:Individual
Prefix:
First Name:SAHAR
Middle Name:
Last Name:AURANGZEB
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 1:28 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-2412
Mailing Address - Country:US
Mailing Address - Phone:650-504-6846
Mailing Address - Fax:
Practice Address - Street 1:19 W 39TH AVE
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-4593
Practice Address - Country:US
Practice Address - Phone:650-578-0600
Practice Address - Fax:650-578-0440
Is Sole Proprietor?:No
Enumeration Date:2012-11-19
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA618981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice