Provider Demographics
NPI:1346765070
Name:SAPINOSO, MARIECHRIS ANCHETA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIECHRIS
Middle Name:ANCHETA
Last Name:SAPINOSO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:MARICHRIS
Other - Middle Name:ORBETA
Other - Last Name:ANCHETA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:3209 S VERONICA AVE
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91792-2345
Mailing Address - Country:US
Mailing Address - Phone:949-413-4090
Mailing Address - Fax:
Practice Address - Street 1:3209 S VERONICA AVE
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91792-2345
Practice Address - Country:US
Practice Address - Phone:626-964-7291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101760122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist