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Individual
SARAH E LONG
Active
Individual
SARAH E LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5930
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
01
—
5930
MARYLAND STATE LICENSE
MD
Enumeration date
05/26/2009
Last updated
01/22/2010
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