TX SOUTHERN DENTAL PPO PC

LAKE JACKSON, TX
NPI1871274159
Entity TypeOrganization
Authorized ContactCHRISTINE NELSON
VP, Revenue Cycle
469-450-6482
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2023-07-28
Last Update Date2023-07-28
Business Address
TX SOUTHERN DENTAL PPO PC
201 OAK DR S STE 206
LAKE JACKSON, TX 77566-5627
Phone number: 979-297-2491
Mailing Address
TX SOUTHERN DENTAL PPO PC
5830 GRANITE PKWY STE 780
PLANO, TX 75024-6775
Phone number: 469-450-6482
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