| Full Name | John Sanderson |
|---|---|
| Speciality | Dentist |
| Location | 306 N Main St, Elgin, North Dakota |
| Authorized Official Name and Position | John Sanderson (OWNER) |
| Authorized Official Contact | 7015842580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Sanderson 306 N Main St Elgin ND 58533-7108 Ph: (701) 584-2580 | John Sanderson 306 N Main St Elgin ND 58533-7108 Ph: (701) 584-2580 |
| NPI Number | 1457769481 |
|---|---|
| Provider Enumeration Date | 07/22/2014 |
| Last Update Date | 07/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457769481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1600 (North Dakota) | Primary |
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