Provider Demographics
NPI:1063862563
Name:LUIS A SANCHEZ DMD AND ASSOCIATES
Entity Type:Organization
Organization Name:LUIS A SANCHEZ DMD AND ASSOCIATES
Other - Org Name:MIAMI DENTAL SEDATION SPA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-445-4646
Mailing Address - Street 1:401 SW 42ND AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1938
Mailing Address - Country:US
Mailing Address - Phone:305-445-4646
Mailing Address - Fax:561-517-9006
Practice Address - Street 1:401 SW 42ND AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1938
Practice Address - Country:US
Practice Address - Phone:305-445-4646
Practice Address - Fax:561-517-9006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-15
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN143741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty