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Organization

CECIL C SANDOVAL DDS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CECIL C SANDOVAL DDS (DENTIS)
(505) 864-8912
Entity
Organization

Contact information

Practice address
601 DALIES AVE, BELEN, NM 87002-3615
(505) 864-8912
(505) 864-2157
Mailing address
601 DALIES AVE, BELEN, NM 87002-3615
(505) 864-8912
(505) 864-2157

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1452
NM

Other

Enumeration date
07/20/2005
Last updated
06/29/2010
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