Synergy Dental, LLC
Dentist in Robstown, TX. Organization (NPI-2).
NPI number1124372016
StatusActive
Last updated in NPPESOct 31, 2012
Details
- NPI
- 1124372016
- Entity type
- Organization (NPI-2)
- Legal business name
- Synergy Dental, LLC
- Organization subpart
- No
- Enumeration date
- Oct 31, 2012
- Last updated
- Oct 31, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 24395 | TX | Yes |
Practice location
109 E Avenue JRobstown, TX 78380-2347
Phone 361-387-1531 · Fax 361-767-8802
Mailing address
4401 River Valley DrApt. 605
Corpus Christi, TX 78410-5250
Phone 201-895-9021 · Fax 361-767-8802
Authorized official
Puravkumar Desai
President
2018959021
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