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Organization
SANDOVAL AYALA LLC
Active
Organization
SANDOVAL AYALA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO M SANDOVAL DMD (DENTIST /OWNER)
(832) 679-0532
Entity
Organization
Contact information
Practice address
8191 SOUTHWEST FWY STE 108, HOUSTON, TX 77074-1700
(832) 679-0532
(713) 485-4389
Mailing address
8191 SOUTHWEST FWY STE 108, HOUSTON, TX 77074-1700
(832) 679-0532
(713) 485-4389
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363349702
—
TX
Enumeration date
01/19/2023
Last updated
01/19/2023
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