Individual
SARA NASSER M ALDOSARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BDS
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3580
(215) 900-5563
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3580
(215) 900-5563
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18RD0027731
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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