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Organization
TX SOUTHERN DENTAL PC
Active
Organization
TX SOUTHERN DENTAL PC
Active
Parent organization
TX SOUTHERN DENTAL PC
Other names
Joy Center Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
TX SOUTHERN DENTAL PC
Authorized official
ERIKA MELISSA MENJIVAR (SR. CREDENTIALING SPECIALIST)
(469) 596-6137
Entity
Organization
Contact information
Practice address
8202 FM 3180 RD, BAYTOWN, TX 77523-1424
(281) 231-9630
Mailing address
5830 GRANITE PKWY STE 780, PLANO, TX 75024-6775
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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