MEDICARE: SARFRAZ SULTANBAI MOMIN DDS

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	1223G0001X	General Practice Dentistry	112622	CA

General Provider Information

NPI Number	:	1174481162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARFRAZ SULTANBAI MOMIN DDS

Provider Business Mailing Address
First Line	:	8282 CALVINE RD APT 3089
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95828-9330
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8282 CALVINE RD APT 3089
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95828-9330
Country	:	US
Telephone Number	:	832-907-7812
Fax Number	:

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

Provider Enumeration Date	:	01/10/2026
Last Update Date	:	01/10/2026

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