| Astrid Sandoval Dds Inc | |
|
4570 W El Segundo Blvd Hawthorne CA 90250-4318 | |
| (310) 973-1919 | |
| Not Available |
| Full Name | Astrid Sandoval Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4570 W El Segundo Blvd, Hawthorne, California |
| Authorized Official Name and Position | Astrid Sandoval (CEO) |
| Authorized Official Contact | 7145357373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Astrid Sandoval Dds Inc 18080 Metcalf Ln Fountain Valley CA 92708-5522 Ph: (714) 535-7373 | Astrid Sandoval Dds Inc 4570 W El Segundo Blvd Hawthorne CA 90250-4318 Ph: (310) 973-1919 |
| NPI Number | 1861638637 |
|---|---|
| Provider Enumeration Date | 12/30/2008 |
| Last Update Date | 12/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861638637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50522 (California) | Primary |
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