Provider Demographics
NPI:1851874622
Name:SAOJI DENTAL INC
Entity Type:Organization
Organization Name:SAOJI DENTAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENDODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NACHIKET
Authorized Official - Middle Name:
Authorized Official - Last Name:SAOJI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-800-8027
Mailing Address - Street 1:161 LUCY LN
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94582-5231
Mailing Address - Country:US
Mailing Address - Phone:817-800-8027
Mailing Address - Fax:
Practice Address - Street 1:2817 CROW CANYON RD STE 100
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1639
Practice Address - Country:US
Practice Address - Phone:925-587-6732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-07
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1011961223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty