Provider Demographics
NPI:1053129700
Name:A SANCHEZ DENTAL CORPORATION
Entity type:Organization
Organization Name:A SANCHEZ DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALAND
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:626-346-3014
Mailing Address - Street 1:15618 GALE AVE STE A
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-1510
Mailing Address - Country:US
Mailing Address - Phone:626-346-3014
Mailing Address - Fax:626-269-0574
Practice Address - Street 1:15618 GALE AVE STE A
Practice Address - Street 2:
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-1510
Practice Address - Country:US
Practice Address - Phone:626-346-3014
Practice Address - Fax:626-269-0574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty