Provider Demographics
NPI:1801994298
Name:SAEB, FARAH (DDS)
Entity type:Individual
Prefix:DR
First Name:FARAH
Middle Name:
Last Name:SAEB
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 1:3535 ROSS AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-3054
Mailing Address - Country:US
Mailing Address - Phone:408-266-8800
Mailing Address - Fax:408-266-8882
Practice Address - Street 1:3535 ROSS AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-3054
Practice Address - Country:US
Practice Address - Phone:408-266-8800
Practice Address - Fax:408-266-8882
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA429461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice