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BLUE CRYSTAL DENTAL
NPI 1043590060
Dentist in Rialto, CA

Active since August 22, 2011
432 N RIVERSIDE AVE, RIALTO, CA 92376(909) 874-2121 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Blue Crystal Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE CRYSTAL DENTAL (NPI 1043590060) is a healthcare organization registered as a dentist in Rialto, California and active in the NPI registry since August 2011. The organization maintains a secondary practice location in Bloomington and lists Pedro M Sandoval, President, as its authorized official.

NPPES Registry Identity

NPI1043590060
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePEDRO M SANDOVAL DDS CORPORATION
Location Address432 N RIVERSIDE AVERialto, CA 92376-5012
Mailing Address432 N Riverside AveRialto, CA 92376-5012 · (909) 874-2121 · Fax (900) 874-2122
Phone(909) 874-2121
Organization SubpartNo
Authorized OfficialPedro M SandovalPresident · (909) 873-9707
Enumeration DateAugust 22, 2011
Last NPPES UpdateApril 9, 2019
✔ NPI 1043590060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 49402
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
432 N RIVERSIDE AVE, Rialto, CA 92376
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Other Names 1

Doing Business AsBlue Crystal Dental

Secondary Practice Location 1

Location 118790 Valley Blvd Ste DBloomington, CA 92316-2241 · Phone (909) 873-9707 · Fax (900) 873-9716

Other Identifiers 2

OtherG8924701CA · Medi-cal
Other1194941245CA · Ein

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pedro M Sandoval Dds Corporation's NPI number?

The NPI number for Pedro M Sandoval Dds Corporation is 1043590060. It was assigned to this organization in the NPPES registry on August 22, 2011. The provider is doing business as Blue Crystal Dental.

Where is Pedro M Sandoval Dds Corporation located?

Pedro M Sandoval Dds Corporation is located at 432 N Riverside Ave, Rialto, CA 92376. The listed phone number is (909) 874-2121.

What is Pedro M Sandoval Dds Corporation's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Pedro M Sandoval Dds Corporation accept?

Health plans from UnitedHealthcare list Pedro M Sandoval Dds Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pedro M Sandoval Dds Corporation was last updated on April 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.