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Organization
MERRILY M SANDFORD, DDS, PA
Active
Organization
MERRILY M SANDFORD, DDS, PA
Active
Parent organization
MERRILY SANDFORD, DDS, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERRILY SANDFORD, DDS, PA
Authorized official
DR. MERRILY M SANDFORD (OWNER / DENTIST)
(512) 263-8284
Entity
Organization
Contact information
Practice address
2303 RANCH ROAD 620 S, SUITE 140, LAKEWAY, TX 78734-6219
(512) 263-8284
Mailing address
2303 RANCH ROAD 620 S, SUITE 140, LAKEWAY, TX 78734-6219
(512) 263-8284
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
18565
TX
Other
Enumeration date
01/10/2017
Last updated
01/12/2017
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