Provider Demographics
NPI:1538372552
Name:SIANATI, SADAF (DDS)
Entity type:Individual
Prefix:DR
First Name:SADAF
Middle Name:
Last Name:SIANATI
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 1:10407 NORTH FWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77037-1136
Mailing Address - Country:US
Mailing Address - Phone:281-260-7773
Mailing Address - Fax:
Practice Address - Street 1:10407 NORTH FREEWAY
Practice Address - Street 2:SUITE B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77037
Practice Address - Country:US
Practice Address - Phone:281-260-7773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23096122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist