Tx Southern Dental Ppo PC
NPI #1104406859 in Kingwood, Texas
Provider Information
- NPI Number
- 1104406859
- Entity Type
- Organization
- Organization Name
- Tx Southern Dental Ppo PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TX SOUTHERN DENTAL PPO PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 8, 2021
- Last Updated
- Jan 5, 2024
Practice Location
Authorized Official
- Name
- CHRISTINE NELSON
- Title
- VP, REVENUE CYCLE
- Phone
- (469) 450-6482
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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