MEDICARE: SARA HAKIM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DS039252	PA
2	122300000X	Dentist	6508	NV

General Provider Information

NPI Number	:	1194070987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA HAKIM

Provider Business Mailing Address
First Line	:	3520 PAINTED VISTA DR
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89511-5392
Country	:	US
Telephone Number	:	415-994-0503
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 W MOANA LN
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-4775
Country	:	US
Telephone Number	:	775-825-5005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2012
Last Update Date	:	02/11/2015

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Directions to “ SARA HAKIM ” Practice Location

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