| NPI | 1043910599 |
|---|---|
| Former Legal Business Name | JOSE MANUEL SANCHEZ A PROFESSIONAL DENTAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | JOSE M SANCHEZ Owner 626-962-8160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2023-03-03 |