NPI | 1871867416 |
---|---|
Doing Business As | DEENA SANDALL, OD., LLC |
Entity Type | Organization |
Authorized Contact | DEENA SANDALL Member 316-210-0362 |
Organization Subpart ? | No |
Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: KS 1723) |
Enumeration Date | 2012-02-29 |
Last Update Date | 2025-07-11 |