Provider Demographics
NPI:1699733931
Name:SARNO, MICHELLE USON (DDS)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:USON
Last Name:SARNO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MICHELLE
Other - Middle Name:D
Other - Last Name:USON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:16100 ISLA MARIA CIR
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92551-2061
Mailing Address - Country:US
Mailing Address - Phone:858-866-6561
Mailing Address - Fax:
Practice Address - Street 1:27174 NEWPORT RD STE 1
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92584-7384
Practice Address - Country:US
Practice Address - Phone:951-606-6912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX391731223E0200X, 1223E0200X
CA1114161223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodontics