Organization
SOH OF TEXAS SPECIALTY SERVICES PLLC
Active
Parent organization
SOH DENTAL, LLC
Other names
Panther Creek Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOH DENTAL, LLC
Authorized official
ASHLY KRISTINE SUNSHINE (CREDENTIALING SPECIALIST)
(314) 413-2803
Entity
Organization
Contact information
Practice address
4850 W PANTHER CREEK DR STE 108, THE WOODLANDS, TX 77381-3595
(281) 367-7775
Mailing address
4850 W PANTHER CREEK DR STE 108, THE WOODLANDS, TX 77381-3595
(281) 367-7775
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
07/06/2023
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