NPI | 1629214705 |
---|---|
Former Legal Business Name | MICHAEL SANDERS DMD PC |
Entity Type | Organization |
Authorized Contact | MICHAEL ROLAND SANDERS President 907-694-8234 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AK 1086) |
Enumeration Date | 2008-12-19 |
Last Update Date | 2014-11-25 |