Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 9831 | MD |
NPI | 1003250309 |
---|---|
Provider Name | Adrian A Sanchez |
First Address | Baltimore, MD 21228-3680 |
Second Address | Baltimore, MD 21228-3680 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2013 |
Last Update Date | 18/04/2013 |