Jordan M Sanderson

NPI #1184308819 in Grant, Michigan

Provider Information

NPI Number: 1184308819
Entity Type: Individual
Name: Jordan M Sanderson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Enumeration Date: Jun 13, 2023
Last Updated: Jun 13, 2023

Practice Location

Address: 11 N MAPLE ST
City: Grant
State: Michigan
ZIP Code: 49327-7900
Phone: (231) 834-9750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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