Organization
ASTRID SANDOVAL DDS INC
Active
Parent organization
ASTRID SANDOVAL DDS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASTRID SANDOVAL DDS INC
Authorized official
DR. ASTRID SANDOVAL DDS (CEO)
(714) 535-7373
Entity
Organization
Contact information
Practice address
4570 W EL SEGUNDO BLVD, HAWTHORNE, CA 90250-4318
(310) 973-1919
Mailing address
18080 METCALF LN, FOUNTAIN VALLEY, CA 92708-5522
(714) 535-7373
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50522
CA
Other
Enumeration date
12/30/2008
Last updated
12/30/2008
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