| San Gabriel Oral & Maxillofacial Surgery Associates, P.a. | |
|
701 San Gabriel Village Blvd Georgetown TX 78626-5594 | |
| (512) 868-2233 | |
| (512) 868-2210 |
| Full Name | San Gabriel Oral & Maxillofacial Surgery Associates, P.a. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 701 San Gabriel Village Blvd, Georgetown, Texas |
| Authorized Official Name and Position | Michaelanne Briggs (OWNER/ SURGEON) |
| Authorized Official Contact | 5128682233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Gabriel Oral & Maxillofacial Surgery Associates, P.a. 701 San Gabriel Village Blvd Georgetown TX 78626-5594 Ph: (512) 868-2233 | San Gabriel Oral & Maxillofacial Surgery Associates, P.a. 701 San Gabriel Village Blvd Georgetown TX 78626-5594 Ph: (512) 868-2233 |
| NPI Number | 1942482807 |
|---|---|
| Provider Enumeration Date | 12/03/2007 |
| Last Update Date | 12/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942482807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 20965 (Texas) | Primary |
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