Individual
LUKE STEPHEN SANDERSFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7973 THUNDER BLVD, FORT CAMPBELL, KY 42223-5531
(507) 399-3024
Mailing address
815 HASKELL CT, DUPONT, WA 98327-9016
(507) 399-3024
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D14378
MN
1223G0001X
General Practice Dentistry
Primary
D14378
MN
Other
Enumeration date
07/23/2020
Last updated
08/10/2023
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