| South Texas Dental Associate, L.p. | |
|
4343 W Camp Wisdom Rd Ste 102 Dallas TX 75237-2467 | |
| (972) 572-3552 | |
| (972) 572-3745 |
| Full Name | South Texas Dental Associate, L.p. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4343 W Camp Wisdom Rd Ste 102, Dallas, Texas |
| Authorized Official Name and Position | Barry James Gomel (OFFICER/PARTNER) |
| Authorized Official Contact | 7136637960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Texas Dental Associate, L.p. 6300 West Loop S Ste 650 Bellaire TX 77401-2997 Ph: (713) 663-7960 | South Texas Dental Associate, L.p. 4343 W Camp Wisdom Rd Ste 102 Dallas TX 75237-2467 Ph: (972) 572-3552 |
| NPI Number | 1063630465 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 07/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063630465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16570 (Texas) | Primary |
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