Basic Information
| Provider Information | |||||||||
| NPI: | 1265844575 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JAMALI | ||||||||
| FirstName: | SABA | ||||||||
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| Credential: | DDS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 23502 BAINFORD CT | ||||||||
| Address2: | |||||||||
| City: | KATY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774942412 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7025795770 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6501 S FRY RD | ||||||||
| Address2: | STE 800 | ||||||||
| City: | KATY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774943376 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2815745005 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/21/2014 | ||||||||
| LastUpdateDate: | 11/10/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 122300000X | 6499 | NV | N | Dental Providers | Dentist | 1223G0001X | 24746 | TX | Y | Dental Providers | Dentist | General Practice |
No ID Information.