| Southfork Dental | |
|
158 W Fm 544 Ste 126 Murphy TX 75094-4800 | |
| (972) 424-2273 | |
| (972) 424-2222 |
| Full Name | Southfork Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 158 W Fm 544 Ste 126, Murphy, Texas |
| Authorized Official Name and Position | Bindu M Kolli (PRESIDENT) |
| Authorized Official Contact | 9724242273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southfork Dental 158 W Fm 544 Ste 126 Murphy TX 75094-4800 Ph: (972) 424-2273 | Southfork Dental 158 W Fm 544 Ste 126 Murphy TX 75094-4800 Ph: (972) 424-2273 |
| NPI Number | 1811162621 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 04/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811162621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21085 (Texas) | Primary |
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