TX SOUTHERN DENTAL PPO PC

HOUSTON, TX
NPI1588494173
Entity TypeOrganization
Authorized ContactERIKA MELISSA MENJIVAR
Sr. Credentialing Specialist
469-596-6137
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
Enumeration Date2024-08-07
Last Update Date2024-08-07
Business Address
TX SOUTHERN DENTAL PPO PC
1127 ELDRIDGE PKWY STE 1040
HOUSTON, TX 77077-1773
Phone number: 281-862-3559
Mailing Address
TX SOUTHERN DENTAL PPO PC
5830 GRANITE PKWY STE 780
PLANO, TX 75024-6775
Phone number: 469-596-6137
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