Individual
DR. AILIE JOY SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
141 COMMUNICATION DR, HANNIBAL, MO 63401-3670
(573) 603-1460
Mailing address
8140 N HICKORY ST APT 11-013, KANSAS CITY, MO 64118-6421
(816) 204-7673
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2019020334
MO
Other
Enumeration date
06/12/2019
Last updated
11/09/2022
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