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Organization
SOUTHGATE DENTAL PLLC
Active
Organization
SOUTHGATE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSSADIQ IFTIKHAR (DENTIST/MANAGING PARTNER)
(512) 677-1307
Entity
Organization
Contact information
Practice address
14550 WESTHEIMER RD STE 130, HOUSTON, TX 77077-5396
(832) 720-7708
Mailing address
14550 WESTHEIMER RD STE 130, HOUSTON, TX 77077-5396
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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