Individual
EMMANUEL SACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1530 TEXAS AVE S STE 300, COLLEGE STATION, TX 77840-3390
(979) 599-5554
Mailing address
3707 MONARCH GROVE LN, KATY, TX 77494-3954
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40612
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2024
Last updated
07/03/2024
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