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Organization
SYNERGY DENTAL, PLLC
Active
Organization
SYNERGY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOMSON SUDHIVORASETH D.D.S. (DENTIST)
(972) 633-2377
Entity
Organization
Contact information
Practice address
228 WEST CAMPBELL ROAD, RICHARDSON, TX 75080-3512
(972) 633-2377
(972) 633-2388
Mailing address
228 WEST CAMPBELL ROAD, RICHARDSON, TX 75080-3512
(972) 633-2377
(972) 633-2388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20761
TX
Other
Enumeration date
06/08/2006
Last updated
03/25/2010
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