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Individual
DR. SANDRA G FISHER
Active
Individual
DR. SANDRA G FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
01924466
IL
1223G0001X
General Practice Dentistry
09292
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1005544
DORAL PROVIDER ID
—
01
—
101582
DORAL PAYER ID
—
Enumeration date
04/04/2008
Last updated
04/04/2008
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