Synergy Dental, Pllc
NPI #1265472047 in Richardson, Texas
Provider Information
- NPI Number
- 1265472047
- Entity Type
- Organization
- Organization Name
- Synergy Dental, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 8, 2006
- Last Updated
- Mar 25, 2010
Practice Location
- Address
- 228 WEST CAMPBELL ROAD
- City
- Richardson
- State
- Texas
- ZIP Code
- 75080-3512
- Phone
- (972) 633-2377
Authorized Official
- Name
- DR. KOMSON SUDHIVORASETH, D.D.S.
- Title
- DENTIST
- Phone
- (972) 633-2377
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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