TX SOUTHERN DENTAL PPO PC

HOUSTON, TX
NPI1407693997
Doing Business AsHOUSTON DENTAL PARTNERS
Entity TypeOrganization
Authorized ContactERIKA MELISSA MENJIVAR
Sr. Credentialing Specialist
469-596-6137
Organization Subpart ?No
Primary Taxonomy1223P0700X Dentist, Prosthodontics
Enumeration Date2024-07-11
Last Update Date2024-07-11
Business Address
TX SOUTHERN DENTAL PPO PC
5311 KIRBY DR STE 207
HOUSTON, TX 77005-1339
Phone number: 713-528-0377
Mailing Address
TX SOUTHERN DENTAL PPO PC
5830 GRANITE PKWY STE 780
PLANO, TX 75024-6775
Phone number: 469-596-6137