Provider Demographics
NPI:1194938050
Name:JAFFREY, SAHAR VENUS (DDS)
Entity type:Individual
Prefix:DR
First Name:SAHAR
Middle Name:VENUS
Last Name:JAFFREY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1855 SAN MIGUEL DRIVE
Mailing Address - Street 2:SUITE 9
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-5214
Mailing Address - Country:US
Mailing Address - Phone:925-937-7000
Mailing Address - Fax:925-937-7574
Practice Address - Street 1:1855 SAN MIGUEL DRIVE
Practice Address - Street 2:SUITE 9
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5214
Practice Address - Country:US
Practice Address - Phone:925-937-7000
Practice Address - Fax:925-937-7574
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA406181223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry