Provider Demographics
NPI:1932532140
Name:KARRER, SANDRA DEE (RDHAP)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:DEE
Last Name:KARRER
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 13TH ST
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446-2226
Mailing Address - Country:US
Mailing Address - Phone:805-468-9191
Mailing Address - Fax:
Practice Address - Street 1:503 13TH ST
Practice Address - Street 2:
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446-2226
Practice Address - Country:US
Practice Address - Phone:805-468-9191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA475125K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes125K00000XDental ProvidersAdvanced Practice Dental Therapist