# SONORTICA DENT ALL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598160038
- **Authorized official:** CARLOS SANCHEZ (CEO)
- **Authorized official phone:** (928) 550-4193

## Contact information

- **Practice address:** 2043 EAST KRYSTAL ST, SAN LUIS, AZ 85349-0426
- **Practice address phone:** (928) 550-4193
- **Mailing address:** 2043 EAST KRYSTAL ST, SAN LUIS, AZ 85349-0426
- **Mailing address phone:** (928) 550-4193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/27/2014
- **Last updated:** 10/27/2014