DR. Ivan Sandoval, D.M.D.
NPI #1881690535 in Bayamon, Puerto Rico
Provider Information
- NPI Number
- 1881690535
- Entity Type
- Individual
- Name
- DR. Ivan Sandoval, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Jun 27, 2005
- Last Updated
- Dec 23, 2008
Practice Location
- Address
- AQ-34 SANTA JUANITA
- Address 2
- AVE. LAUREL
- City
- Bayamon
- State
- Puerto Rico
- ZIP Code
- 00956
- Phone
- (787) 798-6227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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