Individual
SARA ELLAITHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
417 WALL ST, PRINCETON, NJ 08540-1504
(732) 812-1807
Mailing address
775 TWIN RIVERS DR N, EAST WINDSOR, NJ 08520-5613
(732) 812-1807
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02823600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2020
Last updated
07/06/2021
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