Organization
SONORTICA DENT ALL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS SANCHEZ (CEO)
(928) 550-4193
Entity
Organization
Contact information
Practice address
2043 EAST KRYSTAL ST, SAN LUIS, AZ 85349-0426
(928) 550-4193
Mailing address
2043 EAST KRYSTAL ST, SAN LUIS, AZ 85349-0426
(928) 550-4193
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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