FL SOUTHERN DENTAL PA

NEW SMYRNA BEACH, FL
NPI1720970569
Doing Business AsMCKENZIE DENTAL GROUP
Entity TypeOrganization
Authorized ContactERIKA MELISSA MENJIVAR
Sr. Credentialing Specialist
469-596-6137
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
Enumeration Date2025-07-16
Last Update Date2025-07-16
Business Address
FL SOUTHERN DENTAL PA
382 N CAUSEWAY
NEW SMYRNA BEACH, FL 32169-5233
Phone number: 386-428-6468
Mailing Address
FL SOUTHERN DENTAL PA
5830 GRANITE PKWY STE 780
PLANO, TX 75024-6775
Phone number: