KOMSON SUDHIVORASETH

RICHARDSON, TX
NPI1730406075
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  20761)
Enumeration Date2010-04-27
Last Update Date2010-04-27
Business Address
-- KOMSON SUDHIVORASETH D.D.S.
228 W CAMPBELL RD
RICHARDSON, TX 75080-3512
Phone number: 972-633-2377
Mailing Address
-- KOMSON SUDHIVORASETH D.D.S.
228 W CAMPBELL RD
RICHARDSON, TX 75080-3512
Phone number: 972-633-2377