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Individual

SARA LOUISE FILSTRUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, MS

Contact information

Practice address
1749 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-2217
(617) 491-1161
(617) 661-1555
Mailing address
16 HILLCREST PKWY, WINCHESTER, MA 01890-1427
(781) 721-1452

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
20414
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0203441
MA
Enumeration date
01/17/2007
Last updated
07/08/2007
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