| NPI | 1366533747 |
|---|---|
| Doing Business As | SOUTHTOWN DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | GARY PETER GUILLORY President/Manager 210-227-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 16271 TX) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2010-03-16 |