Sara Supriyatno, DDS is a student in an organized health care education training program in Philadelphia, PA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Sara Supriyatno, DDS NPI is 1225775778. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
909 WALNUT ST RM 300
PHILADELPHIA, PA
ZIP 19107-211
Phone: (215) 503-7118
Fax: (215) 923-9189
The enumeration date for this NPI number is 5/17/2022 and was last updated on 1/9/2024.