Provider Demographics
NPI:1124143730
Name:SANDLER, HARLENE DEBRA (DDS)
Entity type:Individual
Prefix:DR
First Name:HARLENE
Middle Name:DEBRA
Last Name:SANDLER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:15005 SHADY GROVE RD
Mailing Address - Street 2:SUITE 420
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6340
Mailing Address - Country:US
Mailing Address - Phone:301-762-0062
Mailing Address - Fax:301-762-0056
Practice Address - Street 1:15005 SHADY GROVE RD
Practice Address - Street 2:SUITE 420
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6340
Practice Address - Country:US
Practice Address - Phone:301-762-0062
Practice Address - Fax:301-762-0056
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD120671223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery