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Organization
SUNRISE MALL DENTAL CENTER, P.L.L.C.
Active
Organization
SUNRISE MALL DENTAL CENTER, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BERTHA ELIZABETH RODRIGUEZ (REGIONAL MANAGER)
(210) 354-4867
Entity
Organization
Contact information
Practice address
5858 S PADRE ISLAND DR, 54A, CORPUS CHRISTI, TX 78412-3932
(361) 994-4867
(210) 994-1655
Mailing address
5858 S PADRE ISLAND DR, 54A, CORPUS CHRISTI, TX 78412-3932
(361) 994-4867
(210) 994-1655
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15889
TX
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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