South Texas Dental Associate, L.p.

NPI #1063630465 in Dallas, Texas

Provider Information

NPI Number: 1063630465
Entity Type: Organization
Organization Name: South Texas Dental Associate, L.p.
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 23, 2007
Last Updated: Jul 7, 2011

Practice Location

Address: 4343 W CAMP WISDOM RD STE 102
City: Dallas
State: Texas
ZIP Code: 75237-2467
Phone: (972) 572-3552

Authorized Official

Name: BARRY JAMES GOMEL, DDS
Title: OFFICER/PARTNER
Phone: (713) 663-7960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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