Organization
JOSE M SANCHEZ DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE M SANCHEZ DDS (OWNER)
(909) 622-8818
Entity
Organization
Contact information
Practice address
117 W WILLOW ST STE A, POMONA, CA 91768-1829
(909) 622-8818
(909) 622-8184
Mailing address
117 W WILLOW ST STE A, POMONA, CA 91768-1829
(909) 622-8818
(909) 622-8184
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487857413
—
CA
Enumeration date
07/20/2020
Last updated
07/20/2020
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