Provider Demographics
NPI:1336333699
Name:SAHARA, RIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:RIA
Middle Name:
Last Name:SAHARA
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 1:37-G CALUMET PARKWAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-6734
Mailing Address - Country:US
Mailing Address - Phone:470-686-6667
Mailing Address - Fax:770-200-1529
Practice Address - Street 1:37-G CALUMET PARKWAY
Practice Address - Street 2:SUITE 201
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-6734
Practice Address - Country:US
Practice Address - Phone:470-686-6667
Practice Address - Fax:770-200-1529
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN013476122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist