Provider Demographics
NPI:1063572535
Name:SANCHEZ, PEDRO M (DDS)
Entity type:Individual
Prefix:
First Name:PEDRO
Middle Name:M
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 160490
Mailing Address - Street 2:8302 NW 103 STREET SUITE 206
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33016-4698
Mailing Address - Country:US
Mailing Address - Phone:305-556-9364
Mailing Address - Fax:305-556-9279
Practice Address - Street 1:8302 NW 103 STREET SUITE 206
Practice Address - Street 2:INTEGRAL DENTAL CARE PA
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33016-4698
Practice Address - Country:US
Practice Address - Phone:305-556-9364
Practice Address - Fax:305-556-9279
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN11187122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist