NPI | 1770858227 |
---|---|
Former Legal Business Name | STEVEN SANDERS D.D.S. |
Entity Type | Organization |
Authorized Contact | STEVEN RAY SANDERS President 317-253-8004 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009302A) |
Enumeration Date | 2012-03-16 |
Last Update Date | 2012-10-28 |