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Organization
TX SOUTHERN DENTAL PPO PC
Active
Organization
TX SOUTHERN DENTAL PPO PC
Active
Parent organization
TX SOUTHERN DENTAL PPO PC
Other names
Oak Hill Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
TX SOUTHERN DENTAL PPO PC
Authorized official
CHRISTINE NELSON (VP, REVENUE CYCLE)
(469) 596-6137
Entity
Organization
Contact information
Practice address
6012 W WILLIAM CANNON DR STE A103, AUSTIN, TX 78749-1976
(512) 288-3930
Mailing address
5830 GRANITE PKWY STE 780, PLANO, TX 75024-6775
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
04/10/2024
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