Organization
SOUTHERN DENTAL SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARNOLD POPE (CREDENTIALING)
(713) 861-6250
Entity
Organization
Contact information
Practice address
310 W 19TH ST, HOUSTON, TX 77008-3906
(713) 861-6250
(713) 869-6414
Mailing address
8000 W INTERSTATE 10 STE 407, SAN ANTONIO, TX 78230-3871
(210) 774-4588
(210) 640-5995
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20273
TX
Other
Enumeration date
10/12/2015
Last updated
02/26/2020
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