| Southgate Dental Pllc | |
|
14550 Westheimer Rd Ste 130 Houston TX 77077-5396 | |
| (832) 720-7708 | |
| Not Available |
| Full Name | Southgate Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 14550 Westheimer Rd Ste 130, Houston, Texas |
| Authorized Official Name and Position | Mussadiq Iftikhar (DENTIST/MANAGING PARTNER) |
| Authorized Official Contact | 5126771307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southgate Dental Pllc 14550 Westheimer Rd Ste 130 Houston TX 77077-5396 Ph: () - | Southgate Dental Pllc 14550 Westheimer Rd Ste 130 Houston TX 77077-5396 Ph: (832) 720-7708 |
| NPI Number | 1962190264 |
|---|---|
| Provider Enumeration Date | 04/26/2023 |
| Last Update Date | 04/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962190264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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