Provider First Line Business Practice Location Address:
6300 W LOOP SOUTH #650
Provider Second Line Business Practice Location Address:
SOUTH TEXAS DENTAL
Provider Business Practice Location Address City Name:
BELLAIRE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-663-7960
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/09/2008