South Texas Dental Associates, Lp | |
4200 South Fwy Ste 805 Ft Worth TX 76115-1437 | |
(817) 924-4220 | |
Not Available |
Full Name | South Texas Dental Associates, Lp |
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Speciality | Dentist - General Practice |
Location | 4200 South Fwy Ste 805, 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 |
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South Texas Dental Associates, Lp 6300 West Loop S Ste 650 Bellaire TX 77401-2997 Ph: (713) 457-3445 | South Texas Dental Associates, Lp 4200 South Fwy Ste 805 Ft Worth TX 76115-1437 Ph: (817) 924-4220 |
NPI Number | 1952742876 |
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Provider Enumeration Date | 07/08/2013 |
Last Update Date | 07/08/2013 |
Identifier | Type | State | Issuer |
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1952742876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 16570 (Texas) | Primary |
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