| Sanchez Dental Llc | |
|
711 6th St Las Vegas NM 87701-4352 | |
| (505) 425-7574 | |
| (505) 425-7575 |
| Full Name | Sanchez Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 711 6th St, Las Vegas, New Mexico |
| Authorized Official Name and Position | Christopher J Yoon (OWNER) |
| Authorized Official Contact | 5054257574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanchez Dental Llc 711 6th St Las Vegas NM 87701-4352 Ph: (505) 425-7574 | Sanchez Dental Llc 711 6th St Las Vegas NM 87701-4352 Ph: (505) 425-7574 |
| NPI Number | 1710222120 |
|---|---|
| Provider Enumeration Date | 12/11/2012 |
| Last Update Date | 12/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710222120 | NPI | - | NPPES |
| 1831467323 | Other | NM | INDIVIDUAL NPI NUMBER |
| 00923869 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DD3514 (New Mexico) | Primary |
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