Southern Dental At Pasadena Pllc | |
7219 Fairmont Pkwy Ste 100 Pasadena TX 77505-4612 | |
(678) 756-5921 | |
Not Available |
Full Name | Southern Dental At Pasadena Pllc |
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Speciality | Dentist |
Location | 7219 Fairmont Pkwy Ste 100, Pasadena, Texas |
Authorized Official Name and Position | Steve Wingfield (COO) |
Authorized Official Contact | 6787565921 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southern Dental At Pasadena Pllc 7219 Fairmont Pkwy Ste 100 Pasadena TX 77505-4612 Ph: () - | Southern Dental At Pasadena Pllc 7219 Fairmont Pkwy Ste 100 Pasadena TX 77505-4612 Ph: (678) 756-5921 |
NPI Number | 1134592199 |
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Provider Enumeration Date | 11/12/2015 |
Last Update Date | 11/12/2015 |
Identifier | Type | State | Issuer |
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1134592199 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (Texas) | Primary |
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