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Sisombath Dental Pc
Dental Clinic/Center in Prosper, Texas
NPI 1760134480

Sisombath Dental Pc is a Dental Clinic/Center based in Dallas, TX and is specialized in Dental. Sisombath Dental Pc practices in Prosper, TX. The NPI Number for Sisombath Dental Pc is 1760134480 and holds a License No. (Texas).

The current practice location address for Sisombath Dental Pc is 210 S Preston Rd Ste 60, Prosper, TX and can be reached out via phone at 469-296-8714.

Location: 210 S Preston Rd Ste 60, Prosper, TX, 75206-0911
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760134480
Provider Name
Sisombath Dental Pc
Credential
Provider Entity Type
Organization
Address
210 S Preston Rd Ste 60, Prosper, TX, 75206-0911
Phone Number
469-296-8714
Fax Number
Provider Enumeration Date
01/24/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
210 S Preston Rd Ste 60
City
Prosper
State
Texas
Zip
75078-2780
Phone Number
469-296-8714
Fax Number
person
Provider Business Mailing Address Details
Address
210 S Preston Rd Ste 60
City
Prosper
State
Texas
Zip
75078-2780
Phone Number
469-296-8714
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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