MEDICARE: FRANK LEONARDO SANCHEZ DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DD1212	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134237860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK LEONARDO SANCHEZ DDS

Provider Business Mailing Address
First Line	:	711 6TH STREET
Second Line	:
City	:	LAS VEGAS
State	:	NM
Zip	:	87701
Country	:	US
Telephone Number	:	505-425-7574
Fax Number	:	505-425-7554

Provider Business Practice Location Address
First Line	:	711 6TH ST
Second Line	:
City	:	LAS VEGAS
State	:	NM
Zip	:	87701-4352
Country	:	US
Telephone Number	:	505-425-7574
Fax Number	:	505-425-7554

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	07/08/2007

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