Healthcare Provider Details

I. General information

NPI: 1447796636
Provider Name (Legal Business Name): SARAH BORGHEI D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2017
Last Update Date: 08/13/2020
Certification Date: 08/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29560 RANCHO CALIFORNIA RD STE 100
TEMECULA CA
92591-5294
US

IV. Provider business mailing address

PO BOX 5010 PMB 186
RANCHO SANTA FE CA
92067
US

V. Phone/Fax

Practice location:
  • Phone: 951-699-2144
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number6866
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number104703
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: