JOSE ERIC CARRASCO SANDOVAL

NAPA, CA
NPI1770146714
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  105308)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-16
Last Update Date2020-09-09
Business Address
JOSE ERIC CARRASCO SANDOVAL DDS
1141 PEAR TREE LN STE 100
NAPA, CA 94558-6485
Phone number: 707-254-1770
Mailing Address
JOSE ERIC CARRASCO SANDOVAL DDS
1540 6TH AVE APT 3
SAN FRANCISCO, CA 94122-3827
Phone number: 707-225-2624