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NPI Code Detail

MEDICARE: DR. SARAH MOZDZIERZ DMD

MEDICARE: DR. SARAH MOZDZIERZ DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1841129350
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH MOZDZIERZ DMD
Provider Business Mailing Address
First Line : 1 KNEELAND ST
Second Line :
City : BOSTON
State : MA
Zip : 02111-1527
Country : US
Telephone Number : 617-636-6516
Fax Number :
Provider Business Practice Location Address
First Line : 1 KNEELAND ST
Second Line :
City : BOSTON
State : MA
Zip : 02111-1527
Country : US
Telephone Number : 617-636-6516
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2026
Last Update Date : 05/19/2026

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