Provider Demographics
NPI:1538383047
Name:SANCHEZ, GILBERT FELIPE (DDS)
Entity type:Individual
Prefix:
First Name:GILBERT
Middle Name:FELIPE
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 EAST SIXTH ST
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-1409
Mailing Address - Country:US
Mailing Address - Phone:951-340-3413
Mailing Address - Fax:951-340-3612
Practice Address - Street 1:146 EAST SIXTH ST
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-1409
Practice Address - Country:US
Practice Address - Phone:951-340-3413
Practice Address - Fax:951-340-3612
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA410371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB4103701OtherMEDICAL