Organization
LEONIDES SANDOVAL DDS PA
Active
Other names
Alta Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONIDES SANDOVAL DDS (PRESIDENT)
(407) 774-9872
Entity
Organization
Contact information
Practice address
813 DOUGLAS AVE SUITE 5, ALTAMONTE SPRINGS, FL 32714-2008
(407) 774-9872
(407) 774-7867
Mailing address
813 DOUGLAS AVENUE SUITE 5, ALTAMONTE SPRINGS, FL 32714-2008
(407) 774-9872
(407) 774-7867
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13000
FL
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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