Individual
JUSTIN SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1034 GOLD HILL RD, SUITE 101, FORT MILL, SC 29708
(803) 650-7189
Mailing address
1034 GOLD HILL RD SUITE 101, FORT MILL, SC 29708
(803) 650-7189
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11939
NC
122300000X
Dentist
Primary
9632
SC
Other
Enumeration date
07/21/2020
Last updated
10/25/2024
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