Individual
DR. LEO ROBERT SANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1314 NE GRAND AVE, PORTLAND, OR 97232-1127
(503) 280-2877
Mailing address
10031 SW 71ST PL, TIGARD, OR 97223-1147
(503) 244-8071
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5548
OR
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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