Individual
MR. DENNIS RAYMOND SANDERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
67 HORNBEAM RD, GROTON, CT 06340-3007
(757) 478-6717
Mailing address
67 HORNBEAM RD, GROTON, CT 06340-3007
(757) 478-6717
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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