Individual
DALTON SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
23382 MYSTIC FOREST DR, NOVI, MI 48375-4016
(248) 767-8966
Mailing address
23382 MYSTIC FOREST DR, NOVI, MI 48375-4016
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901012377
MI
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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