Provider Demographics
NPI:1700224003
Name:DAVEY, SARAH GOLSHAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:GOLSHAN
Last Name:DAVEY
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 1:14627 VIA BETTONA
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127
Mailing Address - Country:US
Mailing Address - Phone:858-243-9444
Mailing Address - Fax:
Practice Address - Street 1:457 E. GRAND AVE
Practice Address - Street 2:SUITE #4
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025
Practice Address - Country:US
Practice Address - Phone:760-747-7878
Practice Address - Fax:760-747-2156
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-07
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA390200000X
CA643671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program