Healthcare Provider Details

I. General information

NPI: 1689435679
Provider Name (Legal Business Name): SARA SABOKPEY DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2024
Last Update Date: 01/17/2024
Certification Date: 01/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9730 WILSHIRE BLVD STE 109
BEVERLY HILLS CA
90212-2003
US

IV. Provider business mailing address

9730 WILSHIRE BLVD STE 109
BEVERLY HILLS CA
90212-2003
US

V. Phone/Fax

Practice location:
  • Phone: 310-499-2048
  • Fax: 310-651-6478
Mailing address:
  • Phone: 310-499-2048
  • Fax: 310-651-6478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SARA B SABOKPEY
Title or Position: CEO
Credential: DDS
Phone: 949-302-9275