Healthcare Provider Details

I. General information

NPI: 1568206266
Provider Name (Legal Business Name): SARA DAO DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2024
Last Update Date: 06/19/2024
Certification Date: 06/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

961 N SHEPHERD DR
HOUSTON TX
77008-6526
US

IV. Provider business mailing address

4006 PORTSMOUTH AVE
HOUSTON TX
77027-6832
US

V. Phone/Fax

Practice location:
  • Phone: 281-661-3529
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number40657
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: