Tx Southern Dental Pc | |
8202 Fm 3180 Rd Baytown TX 77523-1424 | |
(281) 231-9630 | |
Not Available |
Full Name | Tx Southern Dental Pc |
---|---|
Speciality | Dentist |
Location | 8202 Fm 3180 Rd, Baytown, Texas |
Authorized Official Name and Position | Erika Melissa Menjivar (SR. CREDENTIALING SPECIALIST) |
Authorized Official Contact | 4695966137 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tx Southern Dental Pc 5830 Granite Pkwy Ste 780 Plano TX 75024-6775 Ph: () - | Tx Southern Dental Pc 8202 Fm 3180 Rd Baytown TX 77523-1424 Ph: (281) 231-9630 |
NPI Number | 1184514218 |
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Provider Enumeration Date | 07/09/2025 |
Last Update Date | 07/09/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184514218 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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