DR. Angela Wilbert Southwell, DDS

NPI #1295715274 in Goodlettsville, Tennessee

Provider Information

NPI Number: 1295715274
Entity Type: Individual
Name: DR. Angela Wilbert Southwell, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 18, 2006
Last Updated: Mar 13, 2013

Practice Location

Address: 206 RIVERGATE PKWY
City: Goodlettsville
State: Tennessee
ZIP Code: 37072-2033
Phone: (615) 859-9994

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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