Provider Demographics
NPI:1588134498
Name:ASMA S SAJID DDS INC
Entity type:Organization
Organization Name:ASMA S SAJID DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ASMA
Authorized Official - Middle Name:S
Authorized Official - Last Name:SAJID
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:321-331-4019
Mailing Address - Street 1:4021 BOTHWELL CIR
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-5202
Mailing Address - Country:US
Mailing Address - Phone:321-331-4019
Mailing Address - Fax:
Practice Address - Street 1:2 SCRIPPS DR
Practice Address - Street 2:ST 208
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825
Practice Address - Country:US
Practice Address - Phone:916-920-3572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-04
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental