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Individual
LOU SARROSA
Active
Individual
LOU SARROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D06866
AZ
1223G0001X
General Practice Dentistry
Primary
D06866
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228234
—
AZ
Enumeration date
11/21/2006
Last updated
04/19/2023
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