Individual
DEBORAH ELLEN SISTARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8 MAIN STREET, FAIRHAVEN, MA 02719-2908
(508) 999-4683
(508) 999-4950
Mailing address
8 MAIN STREET, FAIRHAVEN, MA 02719-2908
(508) 999-4683
(508) 999-4950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12757
MA
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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