Provider Demographics
NPI:1982398970
Name:MERCEDES SANCHEZ, NEOLQUIDEA GIONET (DMD)
Entity Type:Individual
Prefix:DR
First Name:NEOLQUIDEA
Middle Name:GIONET
Last Name:MERCEDES 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 1:14110 MICHAUX VIEW WAY
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-6878
Mailing Address - Country:US
Mailing Address - Phone:804-677-7856
Mailing Address - Fax:
Practice Address - Street 1:14110 MICHAUX VIEW WAY
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-6878
Practice Address - Country:US
Practice Address - Phone:804-677-7856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014184161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice