# SARAH E WICHETA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265091508
- **Gender:** F
- **Credential:** DMD, MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DN1859322 | MA | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 1024186 | MA | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | DL14025 | MA | Yes |

## Other

- **Enumeration date:** 06/11/2019
- **Last updated:** 06/09/2026