NPI | 1386280303 |
---|---|
Doing Business As | SANDI L HAMM |
Entity Type | Organization |
Authorized Contact | LAURA VOGELSANG Office Team Lead 817-477-4441 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2019-11-25 |
Last Update Date | 2023-10-27 |