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JASON L SANDERS DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1376939843

Individual Registrant:
 JASON L SANDERS DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
510 WELLNESS WAY  REMINGTON, IN 47977-8883 US
Tel: 219-261-2217  Fax: --

Contact information for business:
1000 BLYTHE BLVD  CHARLOTTE, NC 28203-5812 US
Tel: (70-4) -355-2165  Fax: --

Registration Information:
NPI: 1376939843
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
NC10101

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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