Provider Demographics
NPI:1457089591
Name:SARA SABER DDS PC
Entity Type:Organization
Organization Name:SARA SABER DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SABER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:650-862-8676
Mailing Address - Street 1:47 NIGHT HERON LN
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-2206
Mailing Address - Country:US
Mailing Address - Phone:650-862-8676
Mailing Address - Fax:
Practice Address - Street 1:18625 BROOKHURST ST
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-6748
Practice Address - Country:US
Practice Address - Phone:714-962-4486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty