Organization
J CLARKE SANDERS DDS-CENTERVILLE LLC
Active
Other names
CENTERVILLE FAMILY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CLARKE SANDERS D.D.S. (OWNER)
(614) 864-3196
Entity
Organization
Contact information
Practice address
9420 LEBANON PIKE, CENTERVILLE, OH 45458-3860
(937) 433-8900
(937) 433-8905
Mailing address
9420 LEBANON PIKE, CENTERVILLE, OH 45458-3860
(937) 433-8900
(937) 433-8905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17563
OH
Other
Enumeration date
09/04/2009
Last updated
09/04/2009
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