Doctor Name: | DR. JAMIE JAD SAHOURIA |
NPI Number: | 1023239456 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.D.S., M.S. |
License Number: | 22285 |
Business Practice Address: | 1303 Medical Center Dr Rohnert Park, CA - 949282902 |
Business Phone Number: | 7075866600 |
Business Fax Number: | |
Mailing Address: | 1303 Medical Center Drive, ROHNERT PARK |
State: | CA |
Postal Code: | 949282902 |
Phone Number: | 7075866600 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 11/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 22285 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |