Sandefur, Phillip R.

Sandefur, Phillip R. is an individual health care provider with primary practice located at 221 3Rd St W , Randolph A F B TX 78150-4800. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Sandefur, Phillip R. can be contacted via phone (210) 652-1846.

Contact Information

Primary practice address
221 3Rd St W Randolph A F B TX 78150-4800
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 14811 Texas

Profile Details

NPI number 1306993043
LBN Legal business name Sandefur, Phillip R.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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