Southern Dental at Katy Pllc

NPI #1235502287 in Katy, Texas

Provider Information

NPI Number: 1235502287
Entity Type: Organization
Organization Name: Southern Dental at Katy Pllc
Primary Specialty: Dentist
Enumeration Date: Nov 12, 2015
Last Updated: Nov 12, 2015

Practice Location

Address: 1215 N FRY RD STE D
City: Katy
State: Texas
ZIP Code: 77449-3434
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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