Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DN21010 | FL |
N | 1223G0001X | General Practice | 50366 | CA |
N | 213EG0000X | General Practice | 50366 | CA |
NPI | 1003024399 |
---|---|
Provider Name | George Alexander Sanchez |
First Address | Delray Beach, FL 33483-5734 |
Second Address | Delray Beach, FL 33483-5734 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 17/05/2016 |