Individual
CAROL SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
26001 REDLANDS BLVD, REDLANDS, CA 92373-7762
(909) 825-7084
Mailing address
PO BOX 782, SAN ANTONIO, PR 00690-0782
(661) 778-7324
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
111195
CA
122300000X
Dentist
Primary
3587
PR
Other
Enumeration date
10/28/2022
Last updated
10/14/2025
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