Organization
SANCHEZ DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER J YOON DDS (OWNER)
(505) 425-7574
Entity
Organization
Contact information
Practice address
711 6TH ST, LAS VEGAS, NM 87701-4352
(505) 425-7574
(505) 425-7575
Mailing address
711 6TH ST, LAS VEGAS, NM 87701-4352
(505) 425-7574
(505) 425-7575
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD3514
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00923869
—
NM
01
—
1831467323
INDIVIDUAL NPI NUMBER
NM
Enumeration date
12/11/2012
Last updated
12/11/2012
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