Organization
DANIEL SIRIPHONGS DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL SIRIPHONGS DDS (MANAGING MEMBER)
(903) 885-3031
Entity
Organization
Contact information
Practice address
1427 S BROADWAY ST, SULPHUR SPRINGS, TX 75482-4896
(903) 885-3031
Mailing address
1427 S BROADWAY ST, SULPHUR SPRINGS, TX 75482-4896
(903) 885-3031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29681
TX
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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