| Children's Dentistry Of Gonzales | |
|
1110 N Sarah Dewitt Dr Gonzales TX 78629-3311 | |
| (512) 268-4400 | |
| (512) 268-4402 |
| Full Name | Children's Dentistry Of Gonzales |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1110 N Sarah Dewitt Dr, Gonzales, Texas |
| Authorized Official Name and Position | Jeremy Wittich (OWNER/PROVIDER) |
| Authorized Official Contact | 5122684400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dentistry Of Gonzales 1110 N Sarah Dewitt Dr Gonzales TX 78629-3311 Ph: (512) 268-4400 | Children's Dentistry Of Gonzales 1110 N Sarah Dewitt Dr Gonzales TX 78629-3311 Ph: (512) 268-4400 |
| NPI Number | 1265734594 |
|---|---|
| Provider Enumeration Date | 11/18/2010 |
| Last Update Date | 11/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265734594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 22616 (Texas) | Primary |
Family Dentistry Of Gonzales Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 Saint Louis St, Gonzales, TX 78629 Phone: 830-672-8664 | |
Gonzales Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 N Sarah Dewitt Dr Ste 206, Gonzales, TX 78629 Phone: 830-339-2007 Fax: 830-203-5242 | |
Alligator Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 508 Saint Matthew St, Gonzales, TX 78629 Phone: 830-383-9300 |