Individual
SALLY BAQER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5828 MARKET ST, PHILADELPHIA, PA 19139-3152
(610) 589-0153
Mailing address
625 E LANCASTER AVE APT A203, WYNNEWOOD, PA 19096-2023
(832) 807-8949
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS043786
PA
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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