Provider Demographics
NPI:1831298785
Name:SANCHEZ, KATHY E (DDS)
Entity type:Individual
Prefix:DR
First Name:KATHY
Middle Name:E
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2405 W COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-3832
Mailing Address - Country:US
Mailing Address - Phone:210-222-2325
Mailing Address - Fax:210-222-2325
Practice Address - Street 1:2405 W COMMERCE ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-3832
Practice Address - Country:US
Practice Address - Phone:210-222-2325
Practice Address - Fax:210-222-2325
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18015122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist