Southern Star Dental

NPI #1548714371 in Allen, Texas

Provider Information

NPI Number: 1548714371
Entity Type: Organization
Organization Name: Southern Star Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 10, 2016
Last Updated: Aug 10, 2016

Practice Location

Address: 201 E BETHANY DR
Address 2: STE 20
City: Allen
State: Texas
ZIP Code: 75002-3800
Phone: (214) 383-4600

Authorized Official

Name: DR. PENNIE MORELAND, DDS
Title: OWNER
Phone: (214) 383-4600

Specialties & Taxonomy Codes

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

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