TX SOUTHERN DENTAL PPO PC

BEDFORD, TX
NPI1861299653
Doing Business AsADVANCED FAMILY DENTAL
Entity TypeOrganization
Authorized ContactERIKA MELISSA MENJIVAR
Sr. Credentialing Specialist
469-596-6137
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
Enumeration Date2025-02-27
Last Update Date2025-02-27
Business Address
TX SOUTHERN DENTAL PPO PC
4145 BEDFORD RD
BEDFORD, TX 76021-5251
Phone number: 817-354-7840
Mailing Address
TX SOUTHERN DENTAL PPO PC
5830 GRANITE PKWY STE 780
PLANO, TX 75024-6775
Phone number: