Individual
MICHAEL R SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
13015 OLD GLENN HWY, #200, EAGLE RIVER, AK 99577
(907) 694-8234
(907) 694-8225
Mailing address
13015 OLD GLENN HWY, #200, EAGLE RIVER, AK 99577-8080
(907) 694-8234
(907) 694-8225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1086
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1086
STATE LICENSE
AK
Enumeration date
04/23/2007
Last updated
11/24/2014
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