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Individual
DR. JEFFREY CLYDE SACKS
Active
Individual
DR. JEFFREY CLYDE SACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD,MS
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
17089
MA
Other
Enumeration date
05/31/2005
Last updated
03/05/2014
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