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Organization
SONRIA DENTAL PLLC
Active
Organization
SONRIA DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY LE (OWNER)
(972) 898-3694
Entity
Organization
Contact information
Practice address
612 NW 25TH ST, FORT WORTH, TX 76164-7009
(972) 898-3694
Mailing address
1556 BOSQUE DR, CARROLLTON, TX 75010-6427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/23/2012
Last updated
11/27/2012
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