TX SOUTHERN DENTAL PPO PC

THE COLONY, TX
NPI1689355976
Doing Business AsTHE COLONY FAMILY DENTAL
Entity TypeOrganization
Authorized ContactERIKA MELISSA MENJIVAR
Sr. Credentialing Specialist
469-596-6137
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2023-07-28
Last Update Date2026-03-17
Business Address
TX SOUTHERN DENTAL PPO PC
5204 S COLONY BLVD STE 150
THE COLONY, TX 75056-2390
Phone number: 469-656-7265
Mailing Address
TX SOUTHERN DENTAL PPO PC
5830 GRANITE PKWY STE 780
PLANO, TX 75024-6775
Phone number: 469-450-6482