OrganizationActive
Sandia Pediatric Dentistry
NPI 1497008312 · Pediatric Dentistry · Albuquerque, NM
Provider details
- NPI number
- 1497008312
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Danen Sjostrom, Pediatric Dentist(614) 949-9685
- License
- DD3647 (NM)
Specialties & taxonomies
Dental Providers
Practice location
7007 Wyoming Blvd Ne Ste C-2
Albuquerque, NM 87109-3987
Phone: (505) 200-3516
Approximate (ZIP-level) locationGet directions
Mailing address
7007 Wyoming Blvd Ne Ste C-2
Albuquerque, NM 87109-3987
Registry dates
- Enumerated
- 2012-10-16
- Last updated
- 2012-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.