Individual
MISS SARAH ELISABETH FOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
75 WATCHIC ROAD 19, STANDISH, ME 04084-6651
(207) 232-8831
Mailing address
75 WATCHIC ROAD 19, STANDISH, ME 04084-6651
(207) 232-8831
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4132
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2072328831
UNIVERSITY OF NEW ENGLAND
—
Enumeration date
06/23/2021
Last updated
06/23/2021
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