| Synergy Dental, Pllc | |
|
228 West Campbell Road Richardson TX 75080-3512 | |
| (972) 633-2377 | |
| (972) 633-2388 |
| Full Name | Synergy Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 228 West Campbell Road, Richardson, Texas |
| Authorized Official Name and Position | Komson Sudhivoraseth (DENTIST) |
| Authorized Official Contact | 9726332377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Synergy Dental, Pllc 228 West Campbell Road Richardson TX 75080-3512 Ph: (972) 633-2377 | Synergy Dental, Pllc 228 West Campbell Road Richardson TX 75080-3512 Ph: (972) 633-2377 |
| NPI Number | 1265472047 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 03/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265472047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20761 (Texas) | Primary |
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