Cecil C Sandoval DDS PA

NPI #1588663694 in Belen, New Mexico

Provider Information

NPI Number: 1588663694
Entity Type: Organization
Organization Name: Cecil C Sandoval DDS PA
Primary Specialty: Dentist
Enumeration Date: Jul 20, 2005
Last Updated: Jun 29, 2010

Practice Location

Address: 601 DALIES AVE
City: Belen
State: New Mexico
ZIP Code: 87002-3615
Phone: (505) 864-8912

Authorized Official

Name: CECIL C SANDOVAL, DDS
Title: DENTIS
Phone: (505) 864-8912

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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