| NPI | 1053924126 |
|---|---|
| Doing Business As | SOUTH STAR DENTAL |
| Entity Type | Organization |
| Authorized Contact | SAURABH MANKOTIA Manager 409-299-4014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2024-01-11 |