Texas Dental Holdings, Pllc

NPI #1487981072 in Southlake, Texas

Provider Information

NPI Number: 1487981072
Entity Type: Organization
Organization Name: Texas Dental Holdings, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 3, 2009
Last Updated: Nov 3, 2009

Practice Location

Address: 500 W SOUTHLAKE BLVD #130
City: Southlake
State: Texas
ZIP Code: 76092-6163
Phone: (817) 991-9478

Authorized Official

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

Specialties & Taxonomy Codes

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

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