Individual
DR. KEVIN C SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
761 W TUNNEL BLVD, HOUMA, LA 70360-5545
(985) 876-5430
(985) 876-0455
Mailing address
761 W TUNNEL BLVD, HOUMA, LA 70360-5545
(985) 876-5430
(985) 876-0455
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6417
LA
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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