Filstrup, Sara Louise

Filstrup, Sara Louise is an individual health care provider with primary practice located at 1749 Massachusetts Ave , Cambridge MA 02140-2217. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Filstrup, Sara Louise can be contacted via phone (617) 491-1161.

Contact Information

Primary practice address
1749 Massachusetts Ave Cambridge MA 02140-2217
Fax: (617) 661-1555
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 20414 Massachusetts

Profile Details

NPI number 1417009796
LBN Legal business name Filstrup, Sara Louise
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417009796 NPPES
Massachusetts MEDICAID 0203441

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