Provider Demographics
NPI:1952431132
Name:SANCHEZ, ESTELA (DDS)
Entity Type:Individual
Prefix:
First Name:ESTELA
Middle Name:
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 1:4381 MOUNTAIN SHADOWS DR
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-1723
Mailing Address - Country:US
Mailing Address - Phone:562-377-1375
Mailing Address - Fax:
Practice Address - Street 1:3320 N LOS COYOTES DIAGONAL
Practice Address - Street 2:SUITE 200
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-3918
Practice Address - Country:US
Practice Address - Phone:562-377-1375
Practice Address - Fax:562-377-1353
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA315251223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1922116730OtherPRACTICE NPI
CAD31525Medicare ID - Type Unspecified