Individual
DR. DENNIS M SANDOVAL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6500 JEFFERSON ST NE, STE 100, ALBUQUERQUE, NM 87109-3486
(505) 875-0103
(505) 875-0388
Mailing address
6500 JEFFERSON ST NE, STE 100, ALBUQUERQUE, NM 87109-3486
(505) 875-0103
(505) 875-0388
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
78255
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19679
—
NM
Enumeration date
11/21/2005
Last updated
07/08/2007
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