John Sanderson
Dentist in Elgin, ND. Organization (NPI-2).
NPI number1457769481
StatusActive
Last updated in NPPESJul 22, 2014
Details
- NPI
- 1457769481
- Entity type
- Organization (NPI-2)
- Legal business name
- John Sanderson
- Organization subpart
- Yes
- Enumeration date
- Jul 22, 2014
- Last updated
- Jul 22, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 1600 | ND | Yes |
Practice location
306 N Main StElgin, ND 58533-7108
Phone 701-584-2580
Mailing address
306 N Main StElgin, ND 58533-7108
Phone 701-584-2580
Authorized official
John Sanderson
Owner
7015842580
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