Individual
SARAH SHAIKH HUSSEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 FULTON AVENUE, COOS BAY, OR 97420
(541) 888-6433
Mailing address
600 TECHNOLOGY PARK, LAKE MARY, FL 32746-7122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11573
OR
Other
Enumeration date
06/25/2021
Last updated
08/31/2022
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