Individual
SANA YOUSAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3694 HILBORN RD STE 100, FAIRFIELD, CA 94534-7994
(707) 605-0961
(718) 780-5409
Mailing address
3694 HILBORN RD STE 100, FAIRFIELD, CA 94534-7994
(707) 605-0961
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
101582
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/22/2016
Last updated
08/31/2021
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