Provider Demographics
NPI:1518147867
Name:SANCHEZ, MARCOS DIONISIO (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARCOS
Middle Name:DIONISIO
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5138 LEESBURG PIKE
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22302-1050
Mailing Address - Country:US
Mailing Address - Phone:703-379-0800
Mailing Address - Fax:
Practice Address - Street 1:5138 LEESBURG PIKE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22302-1050
Practice Address - Country:US
Practice Address - Phone:703-379-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-05
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010059511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice