DR. Phillip R. Sandefur, DDS

NPI #1306993043 in Randolph a F B, Texas

Provider Information

NPI Number
1306993043
Entity Type
Individual
Name
DR. Phillip R. Sandefur, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jan 4, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
221 3RD ST W
State
Texas
ZIP Code
78150-4800
Phone
(210) 652-1846

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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