Provider Demographics
NPI:1295417145
Name:DAROWICH, SARA (DMD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:DAROWICH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30995 RIVIERA LN
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-1785
Mailing Address - Country:US
Mailing Address - Phone:440-251-1791
Mailing Address - Fax:
Practice Address - Street 1:14701 DETROIT AVE STE 720
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-4180
Practice Address - Country:US
Practice Address - Phone:216-529-7181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0273261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice