Individual
DR. CECIL C. SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
601 DALIES AVE, BELEN, NM 87002-3615
(505) 864-8912
(505) 864-2142
Mailing address
601 DALIES AVE, BELEN, NM 87002-3615
(505) 864-8912
(505) 864-2142
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1452
NM
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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