DR. Autumn Renae Sackett, DDS

NPI #1306025119 in Bucyrus, Ohio

Provider Information

NPI Number: 1306025119
Entity Type: Individual
Name: DR. Autumn Renae Sackett, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 29, 2007
Last Updated: Oct 29, 2007

Practice Location

Address: 126 HILL STREET
City: Bucyrus
State: Ohio
ZIP Code: 44820
Phone: (419) 562-0203

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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