PHD Sunnyvale, Pllc

NPI #1952895070 in Sunnyvale, Texas

Provider Information

NPI Number: 1952895070
Entity Type: Organization
Organization Name: PHD Sunnyvale, Pllc
Primary Specialty: Dentist
Enumeration Date: Jun 21, 2018
Last Updated: Jun 21, 2018

Practice Location

Address: 270 S COLLINS RD
City: Sunnyvale
State: Texas
ZIP Code: 75182-4641
Phone: (972) 416-2330

Authorized Official

Name: LISA MARIE GOVINCHUCK
Title: BUSINESS MANAGER
Phone: (972) 416-2330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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