Sara Grace
NPI #1134595580 in Port Jefferson, New York
Provider Information
- NPI Number
- 1134595580
- Entity Type
- Individual
- Name
- Sara Grace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 19, 2015
- Last Updated
- Aug 19, 2015
Practice Location
- Address
- 111 N COUNTRY RD STE 1
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-2605
- Phone
- (631) 473-4400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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