Provider Demographics
NPI:1023704772
Name:SANCHEZ, CASSANDRA (RDH)
Entity type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11778 ONEIDA ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80233-5872
Mailing Address - Country:US
Mailing Address - Phone:303-638-0133
Mailing Address - Fax:
Practice Address - Street 1:11778 ONEIDA ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80233-5872
Practice Address - Country:US
Practice Address - Phone:303-638-0133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODH.000906431124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty