| Sonortica Dent All Group, Llc | |
|
2043 East Krystal St San Luis AZ 85349-0426 | |
| (928) 550-4193 | |
| Not Available |
| Full Name | Sonortica Dent All Group, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2043 East Krystal St, San Luis, Arizona |
| Authorized Official Name and Position | Carlos Sanchez (CEO) |
| Authorized Official Contact | 9285504193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonortica Dent All Group, Llc 2043 East Krystal St San Luis AZ 85349-0426 Ph: (928) 550-4193 | Sonortica Dent All Group, Llc 2043 East Krystal St San Luis AZ 85349-0426 Ph: (928) 550-4193 |
| NPI Number | 1598160038 |
|---|---|
| Provider Enumeration Date | 10/27/2014 |
| Last Update Date | 10/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598160038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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