Provider Demographics
NPI:1699082370
Name:WARDA, SHERIF A (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:SHERIF
Middle Name:A
Last Name:WARDA
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 CASS STREET
Mailing Address - Street 2:SUITE 208
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940
Mailing Address - Country:US
Mailing Address - Phone:831-649-3661
Mailing Address - Fax:831-649-3690
Practice Address - Street 1:880 CASS STREET
Practice Address - Street 2:SUITE 208
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940
Practice Address - Country:US
Practice Address - Phone:831-649-3661
Practice Address - Fax:831-649-3690
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59745122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist