Provider First Line Business Practice Location Address:
506 CEMETERY STREET
Provider Second Line Business Practice Location Address:
SANDERS DENTAL CLINIC
Provider Business Practice Location Address City Name:
NORTH CARROLLTON
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
38947-0216
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
662-237-6243
Provider Business Practice Location Address Fax Number:
662-237-6243
Provider Enumeration Date:
12/13/2006