Southern Dental at Pasadena Pllc

NPI #1134592199 in Pasadena, Texas

Provider Information

NPI Number
1134592199
Entity Type
Organization
Organization Name
Southern Dental at Pasadena Pllc
Primary Specialty
Dentist
Enumeration Date
Nov 12, 2015
Last Updated
Nov 12, 2015

Practice Location

Address
7219 FAIRMONT PKWY STE 100
State
Texas
ZIP Code
77505-4612
Phone
(678) 756-5921

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Dentist

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