Provider Demographics
NPI:1740585363
Name:SARKARIA-ENGLERT, GITA BEANT (DDS)
Entity Type:Individual
Prefix:
First Name:GITA
Middle Name:BEANT
Last Name:SARKARIA-ENGLERT
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 1:906 SYCAMORE AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92081
Mailing Address - Country:US
Mailing Address - Phone:760-598-9654
Mailing Address - Fax:760-598-9878
Practice Address - Street 1:906 SYCAMORE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081
Practice Address - Country:US
Practice Address - Phone:760-598-9654
Practice Address - Fax:760-598-9878
Is Sole Proprietor?:No
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA389911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice