SISOMBATH DENTAL PC

PROSPER, TX
NPI1760134480
Entity TypeOrganization
Authorized ContactJENNY SISOMBATH
President
469-296-8714
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2022-01-24
Last Update Date2022-01-24
Business Address
SISOMBATH DENTAL PC
210 S PRESTON RD STE 60
PROSPER, TX 75078-2780
Phone number: 469-296-8714
Mailing Address
SISOMBATH DENTAL PC
5331 E MOCKINGBIRD LN APT 617
DALLAS, TX 75206-0911
Phone number: