Provider Demographics
NPI:1760617732
Name:SAHA, ELENA (DMD)
Entity type:Individual
Prefix:
First Name:ELENA
Middle Name:
Last Name:SAHA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:567 SOUTHBRIDGE ST STE 7
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-2256
Mailing Address - Country:US
Mailing Address - Phone:908-872-6559
Mailing Address - Fax:
Practice Address - Street 1:567 SOUTHBRIDGE ST STE 7
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-2256
Practice Address - Country:US
Practice Address - Phone:908-872-6559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-20
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1859201122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist