SOUTHLAKE DENTAL CORP is a periodontics dentist in Fort Worth, TX. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. SOUTHLAKE DENTAL CORP NPI is 1154544740. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Dwain E Matelski Dds Periodontist.
The provider's business location address is:
1124 S LAKE STREET
SUITE B
FORT WORTH, TX
ZIP 76104
Phone: (817) 336-1166
Fax: (817) 336-1180
The provider's authorized official is Dwain Edwin Matelski .
The authorized official title is President and has the following contact phone number (817) 336-1166.
The enumeration date for this NPI number is 4/11/2007 and was last updated on 8/22/2020.