Individual
DANIELLE SACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1229 BROADWAY STE 102, HEWLETT, NY 11557-2014
(516) 569-4567
Mailing address
1229 BROADWAY STE 102, HEWLETT, NY 11557-2014
(516) 456-9456
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
060008
NY
Other
Enumeration date
02/15/2017
Last updated
06/06/2023
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