Organization
SANDEL CENTER FOR FACIAL PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY D SANDEL IV M.D. (MEDICAL DIRECTOR)
(317) 581-9385
Entity
Organization
Contact information
Practice address
127 LUBRANO DRIVE, SUITE 102, ANNAPOLIS, MD 21401-7559
(317) 581-9385
Mailing address
127 LUBRANO DRIVE, SUITE 102, ANNAPOLIS, MD 21401-7559
(317) 581-9385
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
D0067391
MD
Other
Enumeration date
03/25/2008
Last updated
10/17/2008
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