Individual
ANDREA SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1366 HARLEQUIN WAY, STOCKBRIDGE, GA 30281-4226
(313) 407-3658
Mailing address
1366 HARLEQUIN WAY, STOCKBRIDGE, GA 30281-4226
(313) 407-3658
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1857340
MA
1223G0001X
General Practice Dentistry
Primary
DN122536
GA
Other
Enumeration date
08/28/2016
Last updated
01/09/2024
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