MEDICARE: PAULINE SAH D.D.S.

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	29394	TX
2	122300000X	Dentist	29394	TX

General Provider Information

NPI Number	:	1477988269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULINE SAH D.D.S.

Provider Business Mailing Address
First Line	:	24345 GOSLING ROAD
Second Line	:	110-A
City	:	SPRING
State	:	TX
Zip	:	77389-2583
Country	:	US
Telephone Number	:	713-944-0520
Fax Number	:	281-205-7710

Provider Business Practice Location Address
First Line	:	24345 GOSLING ROAD
Second Line	:	110-A
City	:	SPRING
State	:	TX
Zip	:	77389-7738
Country	:	US
Telephone Number	:	713-944-0520
Fax Number	:	281-205-7710

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

Provider Enumeration Date	:	09/11/2013
Last Update Date	:	02/05/2021

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Directions to “ PAULINE SAH D.D.S.” Practice Location

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