Individual
MATTHEW ALLEN SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2483 SUNRISE BLVD, GOLD RIVER, CA 95670-4344
(916) 635-5717
(916) 635-1475
Mailing address
2483 SUNRISE BLVD, GOLD RIVER, CA 95670-4344
(916) 635-5717
(916) 635-1475
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
56479
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56479
STATE LICENSE
CA
Enumeration date
09/30/2008
Last updated
01/22/2021
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