South Texas Dental Associates, L.p. | |
2627 W Jefferson Blvd Ste 318 Dallas TX 75211-2691 | |
(214) 942-1060 | |
(214) 942-5410 |
Full Name | South Texas Dental Associates, L.p. |
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Speciality | Dentist |
Location | 2627 W Jefferson Blvd Ste 318, 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 |
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South Texas Dental Associates, L.p. 6300 West Loop S Ste 650 Bellaire TX 77401-2997 Ph: (713) 663-7960 | South Texas Dental Associates, L.p. 2627 W Jefferson Blvd Ste 318 Dallas TX 75211-2691 Ph: (214) 942-1060 |
NPI Number | 1538385422 |
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Provider Enumeration Date | 04/18/2007 |
Last Update Date | 07/07/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538385422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 16570 (Texas) | Primary |
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