| Merrily M Sandford, Dds, Pa | |
|
2303 Ranch Road 620 S Suite 140 Lakeway TX 78734-6219 | |
| (512) 263-8284 | |
| Not Available |
| Full Name | Merrily M Sandford, Dds, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2303 Ranch Road 620 S, Lakeway, Texas |
| Authorized Official Name and Position | Merrily M Sandford (OWNER / DENTIST) |
| Authorized Official Contact | 5122638284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merrily M Sandford, Dds, Pa 2303 Ranch Road 620 S Suite 140 Lakeway TX 78734-6219 Ph: (512) 263-8284 | Merrily M Sandford, Dds, Pa 2303 Ranch Road 620 S Suite 140 Lakeway TX 78734-6219 Ph: (512) 263-8284 |
| NPI Number | 1053857367 |
|---|---|
| Provider Enumeration Date | 01/10/2017 |
| Last Update Date | 01/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053857367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 18565 (Texas) | Primary |
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