Individual
DR. JONATHAN LANE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1801 E SOUTHERN AVE, MESA, AZ 85204-5258
(480) 892-9000
Mailing address
2716 E FAIRFIELD CIR, MESA, AZ 85213-5300
(480) 404-5909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010810
AZ
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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