Provider Demographics
NPI:1154585834
Name:SANCHEZ, JOAQUIN (DMD)
Entity type:Individual
Prefix:DR
First Name:JOAQUIN
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9610 GAZA DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79927-2835
Mailing Address - Country:US
Mailing Address - Phone:915-208-3345
Mailing Address - Fax:
Practice Address - Street 1:1861 ROBERT WYNN ST STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-4255
Practice Address - Country:US
Practice Address - Phone:915-591-3331
Practice Address - Fax:915-590-6412
Is Sole Proprietor?:No
Enumeration Date:2008-07-11
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24002122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist