Provider Demographics
NPI:1700462033
Name:DR. SARAH DAGLIS, ND, LLC
Entity Type:Organization
Organization Name:DR. SARAH DAGLIS, ND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:DAGLIS
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:860-470-6261
Mailing Address - Street 1:126 PERSHING AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06053-3551
Mailing Address - Country:US
Mailing Address - Phone:860-839-5099
Mailing Address - Fax:
Practice Address - Street 1:304 MAIN ST STE 406
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-2985
Practice Address - Country:US
Practice Address - Phone:860-470-6261
Practice Address - Fax:860-200-0484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-18
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty