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1356924815
BRANT SANDIFER DMD LLC
WATKINSVILLE, GA
NPI
1356924815
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Entity Type
Organization
Authorized Contact
BRANT SANDIFER
Owner
229-402-9532
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2021-05-03
Last Update Date
2021-05-03
Business Address
BRANT SANDIFER DMD LLC
1520 JENNINGS MILL RD STE A
WATKINSVILLE, GA 30677-7308
Phone number: 706-353-1958
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Mailing Address
BRANT SANDIFER DMD LLC
1520 JENNINGS MILL RD STE A
WATKINSVILLE, GA 30677-7308
Phone number: 706-353-1958
Copy
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