Individual
DR. JOHNNY BOYD SANDIFER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
234 N ORANGE BLOSSOM TRL, ORLANDO, FL 32805-1612
(407) 428-1672
Mailing address
710 LAKE CATHERINE DR, MAITLAND, FL 32751-5539
(843) 270-2106
(843) 792-7809
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN17316
FL
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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