Individual
SARA DARVISHIABYANEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6035 DURAND AVE, MOUNT PLEASANT, WI 53406-5049
(262) 270-6933
Mailing address
4416 WOOD DUCK WAY, RACINE, WI 53403-4095
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001865-15
WI
Other
Enumeration date
04/01/2024
Last updated
10/08/2025
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