Provider Demographics
NPI:1891287462
Name:SANCHEZ, MARLIE (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARLIE
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 FLAGLER DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-4924
Mailing Address - Country:US
Mailing Address - Phone:786-542-8954
Mailing Address - Fax:
Practice Address - Street 1:7801 NW 95TH ST STE 2
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-2375
Practice Address - Country:US
Practice Address - Phone:786-542-8954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-30
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN23323122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist