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Organization
SOFISTICA DENTAL PLLC
Active
Organization
SOFISTICA DENTAL PLLC
Active
Other names
Lifetime Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIKNAM BAGHERI D.D.S (GENERAL DENTIST)
(530) 848-0283
Entity
Organization
Contact information
Practice address
1309 E NOLANA AVE, SUITE C, MCALLEN, TX 78504-6189
(956) 800-1860
Mailing address
1309 E NOLANA AVE, SUITE C, MCALLEN, TX 78504-6189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27367
TX
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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