Organization
SONORTICA DENT ALL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS SANCHEZ (CEO)
(619) 870-9456
Entity
Organization
Contact information
Practice address
710 E SAN YSIDRO BLVD, SUITE 1007, SAN YSIDRO, CA 92173-3123
(619) 870-9456
(619) 785-3404
Mailing address
2043 E KRYSTAL STREET, SAN LUIS, AZ 85349
(619) 870-9456
(619) 785-3404
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
2394636
ZZ
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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