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Organization
SGC DENTAL LLC
Active
Organization
SGC DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIXTO GARDUNO COGOLLOR DMD (OWNER)
(972) 223-5500
Entity
Organization
Contact information
Practice address
712 N HAMPTON RD STE 130, DESOTO, TX 75115-4530
(972) 223-5500
(972) 223-5501
Mailing address
712 N HAMPTON RD STE 130, DESOTO, TX 75115-4530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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