Organization
PERIOWEST, LLC
Active
Other names
PerioWest
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRES ROBERTO SANCHEZ DDS, MS (PRESIDENT)
(952) 393-3634
Entity
Organization
Contact information
Practice address
7810 TERREY PINE CT, EDEN PRAIRIE, MN 55347-1186
(952) 567-7457
Mailing address
7810 TERREY PINE CT, EDEN PRAIRIE, MN 55347-1186
(952) 567-7457
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
S13
MN
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
03/28/2008
Last updated
08/18/2020
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