Individual
JORDAN M SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 N MAPLE ST, GRANT, MI 49327-7900
(231) 834-9750
(231) 745-0412
Mailing address
1615 MICHIGAN AVE, BALDWIN, MI 49304-7984
(231) 745-5051
(231) 745-0412
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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