Individual
DR. PATRICIA SANSARICQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD,MPH
Contact information
Practice address
1710 DEKALB PIKE, BLUE BELL, PA 19422-3352
(610) 277-8100
(610) 277-3347
Mailing address
405 KENT RD, BALA CYNWYD, PA 19004-2722
(610) 476-1186
(425) 650-9570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22D102304600
NJ
1223G0001X
General Practice Dentistry
Primary
DS036288
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101317208
—
PA
Enumeration date
11/13/2006
Last updated
10/03/2008
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