Individual
DR. DAVID JUSTIN SANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.S.
Contact information
Practice address
181 N KENTUCKY AVE, SUITE 300, WEST PLAINS, MO 65775-2089
(417) 256-5100
(417) 257-0721
Mailing address
181 N KENTUCKY AVE, SUITE 300, WEST PLAINS, MO 65775-2089
(417) 256-5100
(417) 257-0721
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2009012591
MO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
3699
AR
Other
Enumeration date
08/14/2009
Last updated
08/14/2009
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