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1760134480
SISOMBATH DENTAL PC
PROSPER, TX
NPI
1760134480
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Entity Type
Organization
Authorized Contact
JENNY SISOMBATH
President
469-296-8714
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2022-01-24
Last Update Date
2022-01-24
Business Address
SISOMBATH DENTAL PC
210 S PRESTON RD STE 60
PROSPER, TX 75078-2780
Phone number: 469-296-8714
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Mailing Address
SISOMBATH DENTAL PC
5331 E MOCKINGBIRD LN APT 617
DALLAS, TX 75206-0911
Phone number:
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