Provider Demographics
NPI:1619110327
Name:WADHWANIA, SADAF KABIR (DDS)
Entity Type:Individual
Prefix:DR
First Name:SADAF
Middle Name:KABIR
Last Name:WADHWANIA
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 1:1525 KENNEDY DR
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-4706
Mailing Address - Country:US
Mailing Address - Phone:408-386-6069
Mailing Address - Fax:408-263-5414
Practice Address - Street 1:1525 KENNEDY DR
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-4706
Practice Address - Country:US
Practice Address - Phone:408-386-6069
Practice Address - Fax:408-263-5414
Is Sole Proprietor?:No
Enumeration Date:2009-04-10
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57865122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist