Individual
DR. VAN J SANDERFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2414 W FAIDLEY AVE, SUITE 102, GRAND ISLAND, NE 68803-4368
(308) 381-2010
(308) 381-5726
Mailing address
9030 TURNBERRY CIR, LINCOLN, NE 68526-9233
(402) 486-1030
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6223
NE
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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