Organization
J. CLARKE SANDERS D.D.S. INC.
Active
Other names
Stonecreek Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY S NUNN (PRACTICE ADMINISTRATOR)
(614) 864-3196
Entity
Organization
Contact information
Practice address
11295 STONECREEK DR, PICKERINGTON, OH 43147-9138
(614) 864-3196
(614) 864-3192
Mailing address
11295 STONECREEK DR, PICKERINGTON, OH 43147-9138
(614) 864-3196
(614) 864-3192
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30017563
OH
Other
Enumeration date
07/11/2007
Last updated
08/04/2008
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