Individual
MARIA KAY SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
9323 MENCHACA RD APT 921, AUSTIN, TX 78748-6253
(765) 610-7797
Mailing address
9323 MENCHACA RD APT 921, AUSTIN, TX 78748-6253
(765) 610-7797
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
17618
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17618
DENTAL HYGIENE LICENSE NUMBER
TX
Enumeration date
06/02/2021
Last updated
06/02/2021
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