Provider Demographics
NPI:1912020959
Name:ALROUSAN, SABA ASAAD (DDS)
Entity Type:Individual
Prefix:MRS
First Name:SABA
Middle Name:ASAAD
Last Name:ALROUSAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:SABA
Other - Middle Name:ASAAD
Other - Last Name:ALGHOTHANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:PO BOX 221865
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95822
Mailing Address - Country:US
Mailing Address - Phone:916-392-1131
Mailing Address - Fax:916-392-1132
Practice Address - Street 1:1355 FLORIN ROAD
Practice Address - Street 2:#21
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95822
Practice Address - Country:US
Practice Address - Phone:916-392-1131
Practice Address - Fax:916-392-1132
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49444122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist