Provider Demographics
NPI:1235474990
Name:SANGUINETTI, IVI ZOE (DDS, PA)
Entity Type:Individual
Prefix:DR
First Name:IVI
Middle Name:ZOE
Last Name:SANGUINETTI
Suffix:
Gender:F
Credentials:DDS, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6920 GARTH RD
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-9646
Mailing Address - Country:US
Mailing Address - Phone:281-421-5950
Mailing Address - Fax:281-421-7828
Practice Address - Street 1:6920 GARTH RD
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-9646
Practice Address - Country:US
Practice Address - Phone:281-421-5950
Practice Address - Fax:281-421-7828
Is Sole Proprietor?:No
Enumeration Date:2012-12-06
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17943122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist