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Organization
BRANT SANDIFER DMD LLC
Active
Organization
BRANT SANDIFER DMD LLC
Active
Other names
Aesthetic Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANT SANDIFER DMD (OWNER)
(229) 402-9532
Entity
Organization
Contact information
Practice address
1520 JENNINGS MILL RD STE A, WATKINSVILLE, GA 30677-7308
(706) 353-1958
Mailing address
1520 JENNINGS MILL RD STE A, WATKINSVILLE, GA 30677-7308
(706) 353-1958
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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