| NPI | 1558009910 |
|---|---|
| Doing Business As | SOUTHSIDE ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | WALTER NEAL HORN Dirctor 817-992-9023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2022-05-25 |