Provider Demographics
NPI:1932211661
Name:BATH, SARWANDEEP (DDS)
Entity Type:Individual
Prefix:
First Name:SARWANDEEP
Middle Name:
Last Name:BATH
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 1:240 ALCANTAR CIR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-2701
Mailing Address - Country:US
Mailing Address - Phone:916-564-4462
Mailing Address - Fax:
Practice Address - Street 1:8759 CENTER PKWY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-7682
Practice Address - Country:US
Practice Address - Phone:916-382-8900
Practice Address - Fax:916-570-8300
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50439122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist