Provider Demographics
NPI:1386420362
Name:NOORVASH, SABRINA (DDS)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:NOORVASH
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 1:5620 ANITA ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5308
Mailing Address - Country:US
Mailing Address - Phone:310-490-0941
Mailing Address - Fax:
Practice Address - Street 1:9323 GARLAND RD STE 105
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-3675
Practice Address - Country:US
Practice Address - Phone:214-217-4136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39955122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist