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Individual

DR. EDUARDO SANDOVAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
8325 HAVEN AVE STE 130, RANCHO CUCAMONGA, CA 91730-3894
(909) 989-3566
Mailing address
1398 N AZUSA AVE, AZUSA, CA 91702-2036
(626) 422-8164

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
107452
CA

Other

Enumeration date
05/25/2022
Last updated
05/25/2022
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