| South Texas Dental Associates, Lp | |
|
2482 Jacksboro Hwy Ft Worth TX 76114-2201 | |
| (817) 626-4867 | |
| Not Available |
| Full Name | South Texas Dental Associates, Lp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2482 Jacksboro Hwy, Ft Worth, Texas |
| Authorized Official Name and Position | Barry Gomel (OFFICER/PARTNER) |
| Authorized Official Contact | 7134573445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Texas Dental Associates, Lp 6300 West Loop S Ste 650 Bellaire TX 77401-2997 Ph: (713) 457-3445 | South Texas Dental Associates, Lp 2482 Jacksboro Hwy Ft Worth TX 76114-2201 Ph: (817) 626-4867 |
| NPI Number | 1689015505 |
|---|---|
| Provider Enumeration Date | 07/08/2013 |
| Last Update Date | 07/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689015505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16570 (Texas) | Primary |
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