TX SOUTHERN DENTAL PPO PC

SAN ANTONIO, TX
NPI1407626914
Doing Business AsLES PRATT DDS
Entity TypeOrganization
Authorized ContactCHRISTINE NELSON
VP, Revenue Cycle
469-450-6482
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
Enumeration Date2024-01-05
Last Update Date2024-01-05
Business Address
TX SOUTHERN DENTAL PPO PC
7300 BLANCO RD STE 204
SAN ANTONIO, TX 78216-4938
Phone number: 210-349-2120
Mailing Address
TX SOUTHERN DENTAL PPO PC
5830 GRANITE PKWY STE 780
PLANO, TX 75024-6775
Phone number: 469-450-6482