Provider Demographics
NPI:1497879217
Name:FELEFLI, SANDRA (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:
Last Name:FELEFLI
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8515 SPRING CYPRESS RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379
Mailing Address - Country:US
Mailing Address - Phone:281-379-3790
Mailing Address - Fax:281-379-3792
Practice Address - Street 1:8515 SPRING CYPRESS RD
Practice Address - Street 2:SUITE 103
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379
Practice Address - Country:US
Practice Address - Phone:281-379-3790
Practice Address - Fax:281-379-3792
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17844122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist