# SANDEL CENTER FOR FACIAL PLASTIC SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306018866
- **Authorized official:** DR. HENRY D SANDEL IV M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (317) 581-9385

## Contact information

- **Practice address:** 127 LUBRANO DRIVE, SUITE 102, ANNAPOLIS, MD 21401-7559
- **Practice address phone:** (317) 581-9385
- **Mailing address:** 127 LUBRANO DRIVE, SUITE 102, ANNAPOLIS, MD 21401-7559
- **Mailing address phone:** (317) 581-9385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | D0067391 | MD | Yes |

## Other

- **Enumeration date:** 03/25/2008
- **Last updated:** 10/17/2008