Healthcare Provider Details

I. General information

NPI: 1972410249
Provider Name (Legal Business Name): ESTHER ANTONIA SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 LAYNE BLVD APT 111
HALLANDALE BEACH FL
33009-8613
US

IV. Provider business mailing address

630 LAYNE BLVD APT 111
HALLANDALE BEACH FL
33009-8613
US

V. Phone/Fax

Practice location:
  • Phone: 203-819-2632
  • Fax: 203-819-2632
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberDH32119
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: