Provider Demographics
NPI:1881975381
Name:VASA, SCARLET SAINI (DDS)
Entity type:Individual
Prefix:
First Name:SCARLET
Middle Name:SAINI
Last Name:VASA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:SCARLET
Other - Middle Name:SINGH
Other - Last Name:SAINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:7851 WALKER ST #201
Mailing Address - Street 2:
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-1747
Mailing Address - Country:US
Mailing Address - Phone:714-994-4334
Mailing Address - Fax:
Practice Address - Street 1:7851 WALKER ST #201
Practice Address - Street 2:
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-1747
Practice Address - Country:US
Practice Address - Phone:714-994-4334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-29
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019028823122300000X
CA610581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist