Individual
DR. ROBERT J SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
221 6TH AVE SE, ABERDEEN, SD 57401-4362
(605) 226-1867
(605) 226-3993
Mailing address
221 6TH AVE SE, ABERDEEN, SD 57401-4362
(605) 226-1867
(605) 226-3993
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M611
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24748
BCND PROVIDER #
ND
05
—
41337
—
ND
01
—
991971
DENTAL SERV CORP
ND
Enumeration date
08/30/2006
Last updated
07/09/2007
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