Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | DN1858659 | MA |
NPI | 1003439449 |
---|---|
Provider Name | Emily Sachs |
First Address | Hanover, MA 02339-2208 |
Second Address | Hanover, MA 02339-2208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2020 |
Last Update Date | 27/08/2020 |