Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 2902017666 | MI |
NPI | 1043753619 |
---|---|
Provider Name | Sarah Posigian |
First Address | Dearborn, MI 48124-1755 |
Second Address | Dearborn, MI 48124-1755 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2016 |
Last Update Date | 29/11/2016 |