Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DDS102633 | CA |
Y | 213EG0000X | General Practice | DDS102633 | CA |
NPI | 1003375635 |
---|---|
Provider Name | Aaron Sanchez |
First Address | Fremont, CA 94538-1630 |
Second Address | Fremont, CA 94538 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2019 |
Last Update Date | 29/05/2019 |