Individual
DR. SANDRA RENAE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2001 N 6TH ST, INDIANOLA, IA 50125-4873
(319) 283-0284
Mailing address
2001 N 6TH ST, INDIANOLA, IA 50125-4873
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
30623
TX
1223P0221X
Pediatric Dentistry
Primary
DDS-09079
IA
Other
Enumeration date
07/11/2012
Last updated
01/12/2020
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