SOUTHLAKE DENTAL CORP

FORT WORTH, TX
NPI1154544740
Other NameDWAIN E MATELSKI DDS PERIODONTIST
Entity TypeOrganization
Authorized ContactDWAIN EDWIN MATELSKI
President
817-336-1166
Organization Subpart ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: TX  9930)
Enumeration Date2007-04-11
Last Update Date2020-08-22
Business Address
SOUTHLAKE DENTAL CORP
1124 S LAKE STREET SUITE B
FORT WORTH, TX 76104
Phone number: 817-336-1166
Mailing Address
SOUTHLAKE DENTAL CORP
1124 S LAKE STREET SUITE B
FORT WORTH, TX 76104
Phone number: 817-336-1166