Provider Demographics
NPI:1821345935
Name:SABER, MOHAMED H (BDS)
Entity Type:Individual
Prefix:
First Name:MOHAMED
Middle Name:H
Last Name:SABER
Suffix:
Gender:M
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3106 SUMNER TAPPS HWY E
Mailing Address - Street 2:
Mailing Address - City:LAKE TAPPS
Mailing Address - State:WA
Mailing Address - Zip Code:98391-6716
Mailing Address - Country:US
Mailing Address - Phone:253-891-3100
Mailing Address - Fax:
Practice Address - Street 1:3106 SUMNER TAPPS HWY E
Practice Address - Street 2:
Practice Address - City:LAKE TAPPS
Practice Address - State:WA
Practice Address - Zip Code:98391-6716
Practice Address - Country:US
Practice Address - Phone:253-891-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-08
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE603056691223E0200X, 1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics