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SARA SUPRIYATNO, DDS
DDS
Student in an Organized Health Care Education/Training Program
NPI: 1225775778Individual
Specialties, Licenses & Credentials
General Practice Dentistry
Dentist — General Practice
Code: 1223G0001X
DS043687(PA)
Student in an Organized Health Care Education/Training ProgramPrimary
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Contact & Hours
- Address
- 909 WALNUT ST RM 300
PHILADELPHIA, PA 19107 - Phone
- (215) 503-7118
Quick Facts
- NPI
- 1225775778
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
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