Provider Demographics
NPI:1912025685
Name:SARAF, RAHUL (DMD)
Entity Type:Individual
Prefix:DR
First Name:RAHUL
Middle Name:
Last Name:SARAF
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2752B WATTS DR NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-2721
Mailing Address - Country:US
Mailing Address - Phone:770-590-4884
Mailing Address - Fax:770-590-5213
Practice Address - Street 1:2752B WATTS DR NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-2721
Practice Address - Country:US
Practice Address - Phone:770-590-4884
Practice Address - Fax:770-590-5213
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0112101223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics