Individual
DR. KEVIN SANDIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
7101 HOFF ST, FORT BENNING, GA 31905-5645
(706) 544-4546
Mailing address
7101 HOFF ST, FORT BENNING, GA 31905-5645
(706) 544-4546
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6108 C1
AL
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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