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Individual

DR. JOHN SAECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
23185 FRONT STREET, ACCOMAC, VA 23301
(757) 787-4425
(757) 787-8770
Mailing address
PO BOX 339, ACCOMAC, VA 23301-0339

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005489
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1831289537
ORGANIZATIONAL NPI#
Enumeration date
03/27/2014
Last updated
03/27/2014
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