Individual
DR. CLINT N SANDEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1291 FLORIDA AVE SW, DENHAM SPRINGS, LA 70726-4635
(225) 664-4121
(225) 664-7774
Mailing address
1291 FLORIDA AVE SW, DENHAM SPRINGS, LA 70726-4635
(225) 664-4121
(225) 664-7774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5658
LA
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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