Individual
DR. JIM PATRICK SANDRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4851 RICE MINE RD NE, SUITE #540, TUSCALOOSA, AL 35406-3547
(205) 343-9393
Mailing address
4851 RICE MINE RD NE, SUITE #540, TUSCALOOSA, AL 35406-3547
(205) 343-9393
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5513
AL
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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