MEDICARE: DR. JOAQUIN SANCHEZ D.M.D

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	24002	TX

General Provider Information

NPI Number	:	1154585834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOAQUIN SANCHEZ D.M.D

Provider Business Mailing Address
First Line	:	9610 GAZA DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79927-2835
Country	:	US
Telephone Number	:	915-208-3345
Fax Number	:

Provider Business Practice Location Address
First Line	:	1861 ROBERT WYNN ST STE A
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-4255
Country	:	US
Telephone Number	:	915-591-3331
Fax Number	:	915-590-6412

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

Provider Enumeration Date	:	07/11/2008
Last Update Date	:	12/02/2011

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