Provider Demographics
NPI:1184798076
Name:SOOD, SARIKA (DDS)
Entity type:Individual
Prefix:
First Name:SARIKA
Middle Name:
Last Name:SOOD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 MASONIC WAY
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-2703
Mailing Address - Country:US
Mailing Address - Phone:650-593-5110
Mailing Address - Fax:650-592-4764
Practice Address - Street 1:570 MASONIC WAY
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-2703
Practice Address - Country:US
Practice Address - Phone:650-593-5110
Practice Address - Fax:650-592-4764
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA529341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice