Individual
DR. SARAH LEE CLEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
548 S MARINE CORPS DR, TAMUNING, GU 96913-3539
(671) 646-5825
Mailing address
PO BOX 9868, TAMUNING, GU 96931-5868
(510) 283-3460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0134
MP
1223G0001X
General Practice Dentistry
29923
TX
1223G0001X
General Practice Dentistry
63621
CA
1223G0001X
General Practice Dentistry
Primary
D1027
GU
Other
Enumeration date
06/07/2014
Last updated
11/13/2020
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