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Organization
SUNSHINE FAMILY DENTISTRY AND ORTHODONTICS
Active
Organization
SUNSHINE FAMILY DENTISTRY AND ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE T LUIKHAM DDS (CEO)
(706) 461-1631
Entity
Organization
Contact information
Practice address
2605 W MILE 5 RD, SUITE 1 BLD E, MISSION, TX 78574-0972
(706) 461-1631
Mailing address
2605 W MILE 5 RD, SUITE 1 BLD E, MISSION, TX 78574-0972
(706) 461-1631
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26420
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K0180686
DPS
TX
Enumeration date
04/11/2012
Last updated
04/11/2012
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