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SERGIO GOMES DE SOUZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5115 N DYSART RD, LITCHFIELD PARK, AZ 85340-3032
(623) 536-0900
Mailing address
4150 W CHOLLA ST, PHOENIX, AZ 85029-3854
(622) 363-8715

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D009301
AZ

Other

Enumeration date
08/30/2015
Last updated
08/30/2015
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