| NPI | 1992495485 |
|---|---|
| Doing Business As | SOUTHMORE DENTAL |
| Entity Type | Organization |
| Authorized Contact | LINDA TRAN Manager 713-473-7223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-06-20 |