Individual
DR. SALLY MAE NAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1155 W BROADWAY AVE, MEDFORD, WI 54451-1372
(715) 748-4020
Mailing address
203 N WASHINGTON AVE, MEDFORD, WI 54451-1424
(715) 550-0295
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6784-15
WI
Other
Enumeration date
04/13/2011
Last updated
09/16/2011
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