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Organization
SUNRISE MALL F.D.C., P.A.
Active
Organization
SUNRISE MALL F.D.C., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN ARMSTRONG (REGIONAL MANAGER)
(505) 328-4867
Entity
Organization
Contact information
Practice address
5858 S PADRE ISLAND DR, STE 54A, CORPUS CHRISTI, TX 78412-3920
(361) 994-4867
(361) 994-1655
Mailing address
5858 S PADRE ISLAND DR, STE 54A, CORPUS CHRISTI, TX 78412-3920
(361) 994-4867
(361) 994-1655
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0008481
TX
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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