Individual
JESSICA SANBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8078 DOUGLAS AVE, URBANDALE, IA 50322-2450
(515) 276-7800
Mailing address
8078 DOUGLAS AVE, URBANDALE, IA 50322-2450
(515) 276-7800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7231
NE
1223G0001X
General Practice Dentistry
Primary
DDS-09825
IA
Other
Enumeration date
06/16/2015
Last updated
01/11/2023
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