Individual
DR. KENNETH GUY SANDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1310 24TH AVE S, DENTAL (0160), NASHVILLE, TN 37212-2637
(615) 873-7120
Mailing address
1310 24TH AVE S, DENTAL (0160), NASHVILLE, TN 37212-2637
(615) 873-7120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
24824
TX
1223G0001X
General Practice Dentistry
Primary
DS9240
TN
Other
Enumeration date
07/14/2009
Last updated
05/19/2015
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