Provider Demographics
NPI:1801252598
Name:SARA B. CIZEK, DDS, INC
Entity type:Organization
Organization Name:SARA B. CIZEK, DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SARA
Authorized Official - Middle Name:BARBARA
Authorized Official - Last Name:CIZEK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:970-361-1868
Mailing Address - Street 1:5500 TELEGRAPH RD
Mailing Address - Street 2:STE 121
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-4250
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5500 TELEGRAPH RD
Practice Address - Street 2:STE 121
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-4250
Practice Address - Country:US
Practice Address - Phone:805-650-0902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-11
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty