Provider Demographics
NPI:1720614886
Name:SARATHY AMANJEE DDS INC.
Entity type:Organization
Organization Name:SARATHY AMANJEE DDS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SARATHY
Authorized Official - Middle Name:S
Authorized Official - Last Name:AMANJEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:916-872-7113
Mailing Address - Street 1:141 PARKER ST STE B
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688-3921
Mailing Address - Country:US
Mailing Address - Phone:707-450-1003
Mailing Address - Fax:707-448-8676
Practice Address - Street 1:790 ATLANTIC ST
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-1806
Practice Address - Country:US
Practice Address - Phone:916-872-7113
Practice Address - Fax:916-780-5733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-19
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental