Sandoval Dentistry Prof. Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SANDOVAL DENTISTRY PROF. CORP.

Practice address

850 Indian Hill Blvd
Pomona, CA 91767-5396

Phone

(909) 626-3541

NPI assigned

Jun 19, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eduardo Sandoval, DDSNPI 1972241446

Title

Ceo

Phone

(909) 626-3541

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eduardo Sandoval, DDS

  • Dentist
  • Rancho Cucamonga, CA
  • NPI 1972241446
  NPD Authorized official
• Steve Siwoo Lee, DDS

  • General Practice Dentistry
  • Pomona, CA
  • NPI 1538255435
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1811731409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 INDIAN HILL BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675396",
            "telephone_number": "909-626-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 INDIAN HILL BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675396",
            "telephone_number": "909-626-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDOVAL DENTISTRY PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-626-3541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amandeep Sandhu
• Gary Gursharan Sandhu, M.D.
• Jasvir Sandhu, M.D.
• Kirandeep Sandhu
• Angel Latiaa Sandlin, MA, BA
• Anai Sandoval
• Angela Sandoval
• Brenda Sandoval
• Enrique Sinnel Sandoval, B.A.
• Marcela Denise Sandoval, BA

• General Practice Dentistry in Pomona, CA
• Providers in Pomona, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.