Individual
DR. IVAN SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
AQ-34 SANTA JUANITA, AVE. LAUREL, BAYAMON, PR 00956
(787) 798-6227
(787) 785-9054
Mailing address
PANORAMAVILLAGE, #180 VISTA DEL MAR, BAYAMON, PR 00957
(787) 730-4449
(787) 785-9054
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2002
PR
Other
Enumeration date
06/27/2005
Last updated
12/23/2008
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