| NPI | 1720693799 |
|---|---|
| Doing Business As | SOUTHTOWN DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | FAITH GASKINS Director Of Credentialing 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |