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Organization
TX SOUTHERN DENTAL PC
Active
Organization
TX SOUTHERN DENTAL PC
Active
Parent organization
TX SOUTHERN DENTAL PC
Other names
Masters Dental Group, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
TX SOUTHERN DENTAL PC
Authorized official
CHRISTINE NELSON (VP, REVENUE CYCLE)
(469) 450-6482
Entity
Organization
Contact information
Practice address
7400 BLANCO RD STE 100, SAN ANTONIO, TX 78216-4361
(210) 349-4424
Mailing address
5830 GRANITE PKWY STE 780, PLANO, TX 75024-6775
(469) 596-6021
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
Other
Enumeration date
04/07/2021
Last updated
07/03/2023
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