Healthcare Provider Details

I. General information

NPI: 1962327726
Provider Name (Legal Business Name): SONY EDITH SANCHEZ DR.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE. OCAMPO 2011 PLAZA LA 11 INT.7
TIJUANA B.C. MEXICO
22000
MX

IV. Provider business mailing address

4370 PALM AVE. ST B D-411
SAN DIEGO CA
92154
US

V. Phone/Fax

Practice location:
  • Phone:
  • Fax:
Mailing address:
  • Phone: 526-644-9380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122400000X
TaxonomyDenturist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: