Individual
DAVID SANFORD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1451 COTTLEVILLE PKWY, COTTLEVILLE, MO 63376-3564
(636) 447-6404
Mailing address
407 S 48TH ST, QUINCY, IL 62305-9102
(217) 228-0131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019032330
IL
1223G0001X
General Practice Dentistry
Primary
2019043422
MO
Other
Enumeration date
08/09/2019
Last updated
03/28/2024
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