Southlake Dental Care, PA

NPI #1477721728 in Southlake, Texas

Provider Information

NPI Number: 1477721728
Entity Type: Organization
Organization Name: Southlake Dental Care, PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 20, 2008
Last Updated: Feb 20, 2008

Practice Location

Address: 500 W SOUTHLAKE BLVD
Address 2: STE 130
City: Southlake
State: Texas
ZIP Code: 76092-6165
Phone: (817) 310-0310

Authorized Official

Name: DR. TODD GATHRIGHT, D.D.S.
Title: PRESIDENT
Phone: (817) 991-9478

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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