TX SOUTHERN DENTAL PPO PC

PLANO, TX
NPI1295561538
Entity TypeOrganization
Authorized ContactERIKA MELISSA MENJIVAR
Sr. Credentialing Specialist
469-596-6137
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
Enumeration Date2024-09-12
Last Update Date2024-09-12
Business Address
TX SOUTHERN DENTAL PPO PC
1300 VILLAGE CREEK DR
PLANO, TX 75093-4449
Phone number: 972-905-9266
Mailing Address
TX SOUTHERN DENTAL PPO PC
5830 GRANITE PKWY STE 780
PLANO, TX 75024-6775
Phone number:
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