Individual
DR. NICHOLAS ROBERT SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
101 N BROADWAY AVE, NEW HAMPTON, IA 50659-1108
(641) 394-2137
(641) 394-2138
Mailing address
101 N BROADWAY AVE, NEW HAMPTON, IA 50659-1108
(641) 394-2137
(641) 394-2138
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1223G0001X
IA
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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