Dean E Sandoval, D.D.S.
NPI #1255419479 in Canon City, Colorado
Provider Information
- NPI Number
- 1255419479
- Entity Type
- Individual
- Name
- Dean E Sandoval, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Nov 2, 2006
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 1215 N 15TH ST
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212-4620
- Phone
- (719) 275-5933
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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