Gulfside Dental Port Arthur Pllc | |
2780 Hwy 365 Suite C Port Arthur TX 77640 | |
(409) 433-9254 | |
Not Available |
Full Name | Gulfside Dental Port Arthur Pllc |
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Speciality | Dentist |
Location | 2780 Hwy 365, Port Arthur, Texas |
Authorized Official Name and Position | Mary Pu (VP OF FINANCE) |
Authorized Official Contact | 9728693789 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gulfside Dental Port Arthur Pllc Po Box 734753 Dallas TX 75373-4753 Ph: (972) 869-3789 | Gulfside Dental Port Arthur Pllc 2780 Hwy 365 Suite C Port Arthur TX 77640 Ph: (409) 433-9254 |
NPI Number | 1316325616 |
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Provider Enumeration Date | 05/07/2015 |
Last Update Date | 10/26/2022 |
Identifier | Type | State | Issuer |
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1316325616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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