Sunrise Mall F.d.c., P.a.

NPI #1023276268 in Corpus Christi, Texas

Provider Information

NPI Number
1023276268
Entity Type
Organization
Organization Name
Sunrise Mall F.d.c., P.a.
Primary Specialty
Dentist
Enumeration Date
May 23, 2008
Last Updated
May 23, 2008

Practice Location

Address
5858 S PADRE ISLAND DR
Address 2
STE 54A
State
Texas
ZIP Code
78412-3920
Phone
(361) 994-4867

Authorized Official

Name
LYNN ARMSTRONG
Title
REGIONAL MANAGER
Phone
(505) 328-4867

Specialties & Taxonomy Codes

Specialty
Dentist

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