Individual
DR. DARIUS WILLIAM SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 W PONCE DE LEON AVE, DECATUR, GA 30030-2400
(404) 381-1840
Mailing address
310 ELLIE LN, MCDONOUGH, GA 30252-4207
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN122527
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2020
Last updated
10/18/2022
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