Individual
ALYSA BROOKE SADKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1750 E BROAD ST, MANSFIELD, TX 76063-3400
(817) 473-6857
Mailing address
1750 E BROAD ST, MANSFIELD, TX 76063-3400
(817) 473-6857
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35957
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2019
Last updated
06/04/2024
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