Provider Demographics
NPI:1679674162
Name:MATHIAS, SARAH I (DDS, MS, PC)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:I
Last Name:MATHIAS
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Gender:F
Credentials:DDS, MS, PC
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Mailing Address - Street 1:24422 AVENIDA DE LA CARLOTA
Mailing Address - Street 2:SUITE 120
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653
Mailing Address - Country:US
Mailing Address - Phone:949-716-1500
Mailing Address - Fax:949-305-0551
Practice Address - Street 1:24422 AVENIDA DE LA CARLOTA
Practice Address - Street 2:SUITE 120
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653
Practice Address - Country:US
Practice Address - Phone:949-716-1500
Practice Address - Fax:949-305-0551
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2015-03-26
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Provider Licenses
StateLicense IDTaxonomies
CA483301223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry