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Organization
LEONIDES SANDOVAL DDS PA
Active
Organization
LEONIDES SANDOVAL DDS PA
Active
Other names
Alta Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONIDES SANDOVAL DDS (PRESIDENT)
(407) 774-9872
Entity
Organization
Contact information
Practice address
813 DOUGLAS AVE SUITE 5, ALTAMONTE SPRINGS, FL 32714-2008
(407) 774-9872
(407) 774-7867
Mailing address
813 DOUGLAS AVENUE SUITE 5, ALTAMONTE SPRINGS, FL 32714-2008
(407) 774-9872
(407) 774-7867
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13000
FL
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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