Provider Demographics
NPI:1679854400
Name:JANJUA, SARAH (DENTIST)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:JANJUA
Suffix:
Gender:F
Credentials:DENTIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 QUISSET LN
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-2184
Mailing Address - Country:US
Mailing Address - Phone:610-764-6043
Mailing Address - Fax:
Practice Address - Street 1:1 JASONS WAY
Practice Address - Street 2:
Practice Address - City:ANNVILLE
Practice Address - State:PA
Practice Address - Zip Code:17003-2037
Practice Address - Country:US
Practice Address - Phone:717-867-5088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-07
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0388741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice