Southern Dental at Willowbrook Pllc

NPI #1013380070 in Houston, Texas

Provider Information

NPI Number: 1013380070
Entity Type: Organization
Organization Name: Southern Dental at Willowbrook Pllc
Primary Specialty: Dentist
Enumeration Date: Nov 12, 2015
Last Updated: Nov 12, 2015

Practice Location

Address: 17776 TOMBALL PKWY
Address 2: 20A
City: Houston
State: Texas
ZIP Code: 77064-1016
Phone: (678) 756-5921

Authorized Official

Name: STEVE WINGFIELD, DDS
Title: COO
Phone: (678) 756-5921

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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