ADVANCED SOUTHLAKE ENDODONTICS, PLLC is a dental clinic center in Southlake, TX. ADVANCED SOUTHLAKE ENDODONTICS, PLLC NPI is 1730331778. The provider is registered as an organization entity type.
The provider Is Doing Business As Southlake Endodontics.
The provider's business location address is:
1100 E SOUTHLAKE BLVD
SUITE 400
SOUTHLAKE, TX
ZIP 76092-357
Phone: (817) 488-3636
Fax: (817) 421-2372
The provider's authorized official is Charles Michael Larsen .
The authorized official title is Member and has the following contact phone number (817) 488-3636.
The enumeration date for this NPI number is 10/22/2008 and was last updated on 10/22/2008.