Organization · Type 2 NPI
Gps: Sango Family Dentistry, PLLC
Dental Clinic/Center · Clarksville, TN
NPI number
1609470590
Active
Practice location
1011 TN-76
Clarksville, TN 37043
Mailing address
100 E Huntington Ave Ste E
Jonesboro, AR 72401-2900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1609470590
Gps: Sango Family Dentistry, PLLC's National Provider Identifier is 1609470590, issued on Nov 23, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Clarksville, TN. The record was last updated on Nov 23, 2020.