Individual
ERIC A SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2620 COUNTRY CLUB RD, LAKE CHARLES, LA 70605-5912
(337) 433-5437
(337) 433-3271
Mailing address
2620 COUNTRY CLUB RD, LAKE CHARLES, LA 70605-5912
(337) 433-5437
(337) 433-3271
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4734
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1847348
—
LA
Enumeration date
10/10/2006
Last updated
07/08/2007
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