| NPI | 1235243320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAN J SANDERFER President Heartland Periodontics 308-381-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NE 6223) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |