Provider Demographics
NPI:1023180353
Name:SANCHEZ, LOURDES I (DDS)
Entity Type:Individual
Prefix:DR
First Name:LOURDES
Middle Name:I
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7105 RIGGS RD
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-2935
Mailing Address - Country:US
Mailing Address - Phone:301-422-8936
Mailing Address - Fax:301-422-0400
Practice Address - Street 1:7105 RIGGS RD
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-2935
Practice Address - Country:US
Practice Address - Phone:301-422-8936
Practice Address - Fax:301-422-0400
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD109591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice