Martin Barry Sanders DDS

NPI 1467667113 - Dentist - 1223G0001X

NPI Details
NPI 1467667113
Gender Male
Enumeration Date 05/14/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
929 S MAIN ST
#100
LOMBARD IL, 60148-3364, US
Phone (630) 620-0929
Fax (630) 620-1458
Business Location
929 S MAIN ST
#100
LOMBARD IL, 60148-3364, US
Phone (630) 620-0929
Fax (630) 620-1458
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 19014239
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According to our database, Dr. Martin Barry Sanders DDS NPI is 1467667113, taxonomy code is 1223G0001X and license number is 19014239, license state is located at Illinois. Martin Barry Sanders DDS physically located at 929 S Main St, Lombard IL, 60148-3364. NPI Number Martin Barry Sanders DDS has the Individual type.

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1467667113 NPI number is provided on an as is basis without warranty of any kind. 1467667113 is maintained by the National Plan & Provider Enumeration System. The contents of Martin Barry Sanders DDS are for informational purposes only.