DR. Gary Brian Southerland, DDS

NPI #1487658134 in Temple, Texas

Provider Information

NPI Number
1487658134
Entity Type
Individual
Name
DR. Gary Brian Southerland, DDS
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jun 10, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
1910 BIRDCREEK DR
City
Temple
State
Texas
ZIP Code
76502-1001
Phone
(254) 773-6373

Specialties & Taxonomy Codes

Specialty
Dentist

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