Individual
DR. BRANT SANDIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1520 JENNINGS MILL RD STE A, WATKINSVILLE, GA 30677-7308
(706) 353-1958
Mailing address
1155 CEDAR SHOALS DR, ATHENS, GA 30605-3592
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015401
GA
Other
Enumeration date
07/04/2017
Last updated
05/17/2021
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