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Organization
SOUTHRIDGE DENTAL, LLC
Active
Organization
SOUTHRIDGE DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYRONE DUNSON II DDS (OWNER/DENTIST)
(940) 566-4942
Entity
Organization
Contact information
Practice address
3303 UNICORN LAKE BLVD, STE 200, DENTON, TX 76210
(940) 566-4942
(940) 381-0815
Mailing address
3303 UNICORN LAKE BLVD, STE 200, DENTON, TX 76210
(940) 566-4942
(940) 381-0815
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18977
TX
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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