Organization
BRIAN MIDEI DDS PLLC
Active
Other names
Sonora Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN MIDEI DDS (PRESIDENT)
(520) 730-9232
Entity
Organization
Contact information
Practice address
901 S CROCKETT AVE, SONORA, TX 76950-7837
(520) 730-9232
Mailing address
901 S CROCKETT AVE, SONORA, TX 76950-7837
(520) 730-9232
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
32492
TX
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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