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Dean E Sandoval, DDS
General Practice Dentistry in Canon City, Colorado
NPI 1255419479

Dean E Sandoval is a General Practice Dentistry based in Canon City, CO and is specialized in General Practice. Dean E Sandoval practices in Canon City, CO and has the professional credentials of DDS. The NPI Number for Dean E Sandoval is 1255419479 and holds a License No. HDL-104985 (Colorado).

The current practice location address for Dean E Sandoval is 1215 N 15Th St, Canon City, CO and can be reached out via phone at 719-275-5933 and via fax at 719-275-4385.

Location: 1215 N 15Th St, Canon City, CO, 81212-4620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255419479
Provider Name
Dean E Sandoval
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1215 N 15Th St, Canon City, CO, 81212-4620
Phone Number
719-275-5933
Fax Number
719-275-4385
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02049856 05 CO
institution
Provider Business Practice Location Address Details
Address
1215 N 15Th St
City
Canon City
State
Colorado
Zip
81212-4620
Phone Number
719-275-5933
Fax Number
719-275-4385
person
Provider Business Mailing Address Details
Address
1215 N 15Th St
City
Canon City
State
Colorado
Zip
81212-4620
Phone Number
719-275-5933
Fax Number
719-275-4385
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
HDL-104985 (Colorado)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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