J Clark Sanders DDS Marengo LLC

NPI #1356808828 in Marengo, Ohio

Provider Information

NPI Number: 1356808828
Entity Type: Organization
Organization Name: J Clark Sanders DDS Marengo LLC
Primary Specialty: Dentist
Enumeration Date: Feb 21, 2019
Last Updated: Feb 21, 2019

Practice Location

Address: 73 SPORTSMAN DR STE A
City: Marengo
State: Ohio
ZIP Code: 43334-1800
Phone: (419) 253-3100

Authorized Official

Name: LAUREN HOWARD, MA
Title: CREDENTIALING SPECIALIST
Phone: (724) 698-2029

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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