Organization
J BRENT SANDERS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J BRENT SANDERS (DOCTOR)
(623) 572-7505
Entity
Organization
Contact information
Practice address
7505 W DEER VALLEY RD STE 130, PEORIA, AZ 85382-2107
(623) 572-7505
(623) 572-7602
Mailing address
7505 W DEER VALLEY RD STE 130, PEORIA, AZ 85382-2107
(623) 572-7505
(623) 572-7602
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3208
AZ
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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