| Southern Dental At Sugarland Pllc | |
|
12800 Fountain Lake Cir Stafford TX 77477-3756 | |
| (678) 756-5921 | |
| Not Available |
| Full Name | Southern Dental At Sugarland Pllc |
|---|---|
| Speciality | Dentist |
| Location | 12800 Fountain Lake Cir, Stafford, Texas |
| Authorized Official Name and Position | Steve Wingfield (COO) |
| Authorized Official Contact | 6787565921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Dental At Sugarland Pllc 12800 Fountain Lake Cir Stafford TX 77477-3756 Ph: (678) 756-5921 | Southern Dental At Sugarland Pllc 12800 Fountain Lake Cir Stafford TX 77477-3756 Ph: (678) 756-5921 |
| NPI Number | 1497128458 |
|---|---|
| Provider Enumeration Date | 11/12/2015 |
| Last Update Date | 11/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497128458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Texas) | Primary |
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