TX SOUTHERN DENTAL PPO PC

SAN ANTONIO, TX
NPI1063300960
Doing Business AsRICARDO DIAZ DDS
Entity TypeOrganization
Authorized ContactERIKA MELISSA MENJIVAR
Sr. Credentialing Specialist
469-596-6137
Organization Subpart ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
Enumeration Date2025-06-27
Last Update Date2025-06-27
Business Address
TX SOUTHERN DENTAL PPO PC
4871 FREDERICKSBURG RD
SAN ANTONIO, TX 78229-3627
Phone number: 210-349-5553
Mailing Address
TX SOUTHERN DENTAL PPO PC
5830 GRANITE PKWY STE 780
PLANO, TX 75024-6775
Phone number: