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Individual
SARA ELIZABETH ESCUDERO
Active
Individual
SARA ELIZABETH ESCUDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6002092-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
DDS-10220
IA
Other
Enumeration date
03/14/2024
Last updated
07/06/2026
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