Leila Baroudi, D.D.S.

Individual provider Active NPI General Practice Dentistry · Saratoga, CA

NPI 1104940170 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1104940170
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
46727 (CA)
Practice address
18805 Cox Ave
Suite #100
Saratoga, CA 95070-6616
Phone
(408) 866-1344
Fax
(408) 866-1366
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
46727CAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 46727 CA Yes

Addresses

Primary practice location

18805 Cox Ave
Suite #100
Saratoga, CA 95070-6616

Mailing address

18805 Cox Ave
Suite #100
Saratoga, CA 95070-6616
Phone (408) 866-1344

Other providers in Saratoga, CA

All providers in Saratoga, CA · General Practice Dentistry in California

Sources for this page

Verify at the official NPI Registry.