Southridge Dental, LLC

NPI #1740709344 in Denton, Texas

Provider Information

NPI Number: 1740709344
Entity Type: Organization
Organization Name: Southridge Dental, LLC
Primary Specialty: Dentist
Enumeration Date: Sep 14, 2017
Last Updated: Sep 14, 2017

Practice Location

Address: 3303 UNICORN LAKE BLVD
Address 2: STE 200
City: Denton
State: Texas
ZIP Code: 76210
Phone: (940) 566-4942

Authorized Official

Name: DR. TYRONE DUNSON II, DDS
Title: OWNER/DENTIST
Phone: (940) 566-4942

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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