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NPI Code Detail

MEDICARE: SARA BUKHARI, DDS PLLC

MEDICARE: SARA BUKHARI, DDS PLLC
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
1261QD0000XDental Clinic/CenterD8784AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710352968
Entity Type Code : Organization
Provider Name (Legal Business Name) : SARA BUKHARI, DDS PLLC
Provider Business Mailing Address
First Line : 7500 E DEER VALLEY RD
Second Line : UNIT 164
City : SCOTTSDALE
State : AZ
Zip : 85255-4814
Country : US
Telephone Number : 480-389-4215
Fax Number : 480-383-6199
Provider Business Practice Location Address
First Line : 4731 E UNION HILLS DR
Second Line : SUITES 108-110
City : PHOENIX
State : AZ
Zip : 85050-3310
Country : US
Telephone Number : 480-389-4215
Fax Number : 480-383-6199
Authorized Official
Title or Position : PRESIDENT
Name : SARA BUKHARI
Credential : DDS
Telephone Number : 480-389-4215
Provider Enumeration Date : 12/13/2015
Last Update Date : 12/13/2015

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