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Individual

JASON L SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
510 WELLNESS WAY, REMINGTON, IN 47977-8883
(219) 261-2217
Mailing address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2165

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10101
NC

Other

Enumeration date
04/12/2015
Last updated
07/21/2022
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