Individual
DR. MARK W SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
253 W MAIN ST, MONROVIA, IN 46157-9567
(317) 996-3391
Mailing address
2875 W BRODERIE LN, MONROVIA, IN 46157-6129
(317) 996-3391
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011298A
IN
Other
Enumeration date
06/18/2009
Last updated
01/03/2025
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