Komson Sudhivoraseth D.D.S.

NPI 1730406075 - Dentist - 1223G0001X

NPI Details
NPI 1730406075
Gender Male
Enumeration Date 04/27/2010
Last Updated 04/27/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
228 W CAMPBELL RD
RICHARDSON TX, 75080-3512, US
Phone (972) 633-2377
Fax (972) 633-2388
Business Location
228 W CAMPBELL RD
RICHARDSON TX, 75080-3512, US
Phone (972) 633-2377
Fax (972) 633-2388
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 20761
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According to our database, Komson Sudhivoraseth D.D.S. NPI is 1730406075, taxonomy code is 1223G0001X and license number is 20761, license state is located at Texas. Komson Sudhivoraseth D.D.S. physically located at 228 W Campbell Rd, Richardson TX, 75080-3512. NPI Number Komson Sudhivoraseth D.D.S. has the Individual type.

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1730406075 NPI number is provided on an as is basis without warranty of any kind. 1730406075 is maintained by the National Plan & Provider Enumeration System. The contents of Komson Sudhivoraseth D.D.S. are for informational purposes only.