Provider Demographics
NPI:1356034227
Name:SARINA, AMBER MARIE (RDHAP)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:MARIE
Last Name:SARINA
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 WALNUT PL
Mailing Address - Street 2:
Mailing Address - City:KING CITY
Mailing Address - State:CA
Mailing Address - Zip Code:93930-3015
Mailing Address - Country:US
Mailing Address - Phone:818-720-9550
Mailing Address - Fax:
Practice Address - Street 1:319 WALNUT PL
Practice Address - Street 2:
Practice Address - City:KING CITY
Practice Address - State:CA
Practice Address - Zip Code:93930-3015
Practice Address - Country:US
Practice Address - Phone:818-720-9550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA962124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist