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Organization

BERNARD SANDERS DDS

Active
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Organization

BERNARD SANDERS DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BERNARD SANDERS DDS (DENTIST)
(248) 569-6629
Entity
Organization

Contact information

Practice address
19931 W 12 MILE RD, SOUTHFIELD, MI 48076-2591
(248) 569-6629
(248) 569-1856
Mailing address
19931 W 12 MILE RD, SOUTHFIELD, MI 48076-2591
(248) 569-6629
(248) 569-1856

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901014011
MI

Other

Enumeration date
03/15/2016
Last updated
03/15/2016
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