TX SOUTHERN DENTAL PPO PC

ARLINGTON, TX
NPI1801767470
Entity TypeOrganization
Authorized ContactERIKA MELISSA MENJIVAR
Sr. Credentialing Specialist
469-596-6137
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
Enumeration Date2025-09-16
Last Update Date2025-09-23
Business Address
TX SOUTHERN DENTAL PPO PC
3100 MATLOCK RD STE 103
ARLINGTON, TX 76015-2900
Phone number: 817-468-3590
Mailing Address
TX SOUTHERN DENTAL PPO PC
5830 GRANITE PKWY STE 780
PLANO, TX 75024-6775
Phone number: