Provider Demographics
NPI:1245778984
Name:SILGUERO DENTAL PLLC
Entity Type:Organization
Organization Name:SILGUERO DENTAL PLLC
Other - Org Name:SUNSHINE FAMILY DENTISTRY AND ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUIKHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:956-583-1000
Mailing Address - Street 1:2605 W MILE 5 RD
Mailing Address - Street 2:STE 1 BLD E
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78574-0968
Mailing Address - Country:US
Mailing Address - Phone:956-583-1000
Mailing Address - Fax:956-583-8000
Practice Address - Street 1:2605 W MILE 5 RD
Practice Address - Street 2:STE 1 BLD E
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78574-0968
Practice Address - Country:US
Practice Address - Phone:956-583-1000
Practice Address - Fax:956-583-8000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-02
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental