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Organization
SAMUEL BRET SANDERS, D.M.D. APDC
Active
Organization
SAMUEL BRET SANDERS, D.M.D. APDC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL BRET SANDERS D.M.D. (OWNER/DENTIST)
(318) 323-9500
Entity
Organization
Contact information
Practice address
2816 ARMAND ST, MONROE, LA 71201-3752
(318) 323-9500
(318) 323-9888
Mailing address
2816 ARMAND ST, MONROE, LA 71201-3752
(318) 323-9500
(318) 323-9888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4654
LA
122300000X
Dentist
5954
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1846546
—
LA
Enumeration date
02/01/2010
Last updated
02/02/2010
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