| NPI | 1336155787 |
|---|---|
| Doing Business As | SOUTHERN DENTAL ASSOCIATES - WILLOWBROOK |
| Entity Type | Organization |
| Authorized Contact | DAVID D. LEWIS President 713-681-7920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 9517) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2009-08-14 |