Southgate Dental Pllc

NPI #1962190264 in Houston, Texas

Provider Information

NPI Number: 1962190264
Entity Type: Organization
Organization Name: Southgate Dental Pllc
Primary Specialty: Dentist
Enumeration Date: Apr 26, 2023
Last Updated: Apr 26, 2023

Practice Location

Address: 14550 WESTHEIMER RD STE 130
City: Houston
State: Texas
ZIP Code: 77077-5396
Phone: (832) 720-7708

Authorized Official

Name: MUSSADIQ IFTIKHAR
Title: DENTIST/MANAGING PARTNER
Phone: (512) 677-1307

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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