Southwestern Perio & Implant, Pllc

NPI #1801242995 in Coppell, Texas

Provider Information

NPI Number
1801242995
Entity Type
Organization
Organization Name
Southwestern Perio & Implant, Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
May 9, 2016
Last Updated
May 9, 2016

Practice Location

Address
697 E STATE HIGHWAY 121 STE 100
State
Texas
ZIP Code
75019-7950
Phone
(972) 315-2345

Authorized Official

Name
JAEBUM LEE, DDS
Title
OWNER
Phone
(972) 315-2345

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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