ELIVINIO SANDOVAL

AURORA, CO
NPI1700953833
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: CO  3005)
Enumeration Date2006-11-30
Last Update Date2007-07-08
Business Address
ELIVINIO SANDOVAL D.D.S.
12090 E ALAMEDA AVE
AURORA, CO 80012-1216
Phone number: 303-360-8365
Mailing Address
ELIVINIO SANDOVAL D.D.S.
12090 E ALAMEDA AVE
AURORA, CO 80012-1216
Phone number: 303-360-8365