DR. Michael A. Sandoval, D.D.S.

NPI #1700052636 in Muskego, Wisconsin

Provider Information

NPI Number: 1700052636
Entity Type: Individual
Name: DR. Michael A. Sandoval, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Apr 30, 2008
Last Updated: Apr 30, 2008

Practice Location

Address: S63W13660 JANESVILLE RD
City: Muskego
State: Wisconsin
ZIP Code: 53150-2713
Phone: (414) 425-9393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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