| Sonora Dentistry | |
|
901 S Crockett Ave Sonora TX 76950-7837 | |
| (520) 730-9232 | |
| Not Available |
| Full Name | Sonora Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 901 S Crockett Ave, Sonora, Texas |
| Authorized Official Name and Position | Brian Midei (PRESIDENT) |
| Authorized Official Contact | 5207309232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonora Dentistry 901 S Crockett Ave Sonora TX 76950-7837 Ph: (520) 730-9232 | Sonora Dentistry 901 S Crockett Ave Sonora TX 76950-7837 Ph: (520) 730-9232 |
| NPI Number | 1962947739 |
|---|---|
| Provider Enumeration Date | 01/03/2017 |
| Last Update Date | 01/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962947739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 32492 (Texas) | Primary |