Individual
DR. STEVEN ALLEN SACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
151 WATERMAN ST, PROVIDENCE, RI 02906-2118
(401) 274-5024
(401) 331-7288
Mailing address
151 WATERMAN ST, PROVIDENCE, RI 02906-2118
(401) 274-5024
(401) 331-7288
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
01702
RI
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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