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Organization
SOUTHLAKE DENTAL CARE, PA
Active
Organization
SOUTHLAKE DENTAL CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD GATHRIGHT D.D.S. (PRESIDENT)
(817) 991-9478
Entity
Organization
Contact information
Practice address
500 W SOUTHLAKE BLVD, STE 130, SOUTHLAKE, TX 76092-6165
(817) 310-0310
(817) 310-0909
Mailing address
500 W SOUTHLAKE BLVD, STE 130, SOUTHLAKE, TX 76092-6165
(817) 310-0310
(817) 310-0909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20397
TX
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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