| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MELISSA A CANO SANDERSON | 1194452391 | 2022-08-07 |
Melissa A Cano Sanderson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1194452391. Registration indicates Melissa A Cano Sanderson is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist: General Practice, ) (Dental, ) (Dentist General Practice, Dental Providers) (Dentist, ) Access to Dentists-General (Dental Providers, Dentist) (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers)
| Entity Type | Individual |
| Provider Name | Dr. Melissa A Cano Sanderson DDS |
| Practice Office Address | 505 W LOUIS HENNA BLVD STE 110A AUSTIN, TX US |
| Practice Office Telephone | 5125937970 |
| Mailing Address | 2401 ALDRICH ST APT 342 AUSTIN, TX 787231999 US |
| Business Telephone | 9563128731 |
| Code | Practice | License No State |
|---|---|---|
| 1223G0001X | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist: General Practice Dental Dentist General Practice Dental Providers Dentist | 38812
TX |
| 122300000X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | 38812
TX |