J Clarke Sanders DDS Kettering LLC

NPI #1861950602 in Kettering, Ohio

Provider Information

NPI Number: 1861950602
Entity Type: Organization
Organization Name: J Clarke Sanders DDS Kettering LLC
Primary Specialty: Dentist
Enumeration Date: Mar 12, 2019
Last Updated: Mar 12, 2019

Practice Location

Address: 4055 FAR HILLS AVE
City: Kettering
State: Ohio
ZIP Code: 45429-2440
Phone: (877) 959-5405

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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