Individual
KEVIN SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6115 N GREEN BAY AVE, GLENDALE, WI 53209-3813
(509) 302-9715
Mailing address
720 N ARGONNE RD, SPOKANE VALLEY, WA 99212-2794
(509) 928-7500
(509) 928-0904
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60561209
WA
Other
Enumeration date
03/24/2015
Last updated
04/03/2018
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