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Individual

DR. LEONIDES SANDOVAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
813 DOUGLAS AVE, SUITE 5, ALTAMONTE SPRINGS, FL 32714-2008
(407) 774-9872
(407) 774-7867
Mailing address
813 DOUGLAS AVE, SUITE 5, ALTAMONTE SPRINGS, FL 32714-2008
(407) 774-9872
(407) 774-7867

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
39698
NY
122300000X
Dentist
Primary
DN13000
FL

Other

Enumeration date
01/16/2014
Last updated
01/16/2014
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