Sgc Dental LLC

NPI #1306477542 in Desoto, Texas

Provider Information

NPI Number: 1306477542
Entity Type: Organization
Organization Name: Sgc Dental LLC
Primary Specialty: Dentist
Enumeration Date: Jan 27, 2020
Last Updated: Jan 27, 2020

Practice Location

Address: 712 N HAMPTON RD STE 130
City: Desoto
State: Texas
ZIP Code: 75115-4530
Phone: (972) 223-5500

Authorized Official

Name: DR. SIXTO GARDUNO COGOLLOR, DMD
Title: OWNER
Phone: (972) 223-5500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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