Individual
DR. DAVID LANCE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2703 GILMER RD, LONGVIEW, TX 75604-1823
(903) 759-2902
Mailing address
2703 GILMER RD, LONGVIEW, TX 75604-1823
(903) 759-2902
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15210
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23407
UNITED CONCORDIA
—
01
—
3136172
BCBS OF TN
TN
01
—
D15210
BCBS OF TX
TX
Enumeration date
12/05/2007
Last updated
12/05/2007
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