Provider Demographics
NPI:1891419545
Name:GODIL, FARIN HASRAT (DMD)
Entity Type:Individual
Prefix:
First Name:FARIN
Middle Name:HASRAT
Last Name:GODIL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:FARIN
Other - Middle Name:
Other - Last Name:HASANFATTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1008 E EL CAMINO REAL APT 122
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-3836
Mailing Address - Country:US
Mailing Address - Phone:425-786-8958
Mailing Address - Fax:
Practice Address - Street 1:1008 E EL CAMINO REAL APT 122
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-3836
Practice Address - Country:US
Practice Address - Phone:425-786-8958
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1081751223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice