Gulfside Dental - La Marque Pllc

NPI #1083112932 in La Marque, Texas

Provider Information

NPI Number
1083112932
Entity Type
Organization
Organization Name
Gulfside Dental - La Marque Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 25, 2018
Last Updated
Jan 11, 2022

Practice Location

Address
2600 FM 1764 RD STE 170
State
Texas
ZIP Code
77568-2828
Phone
(972) 590-8809

Authorized Official

Name
FAITH GASKINS, DIRECTOR
Title
DIRECTOR OF CREDENTIALING
Phone
(972) 869-3789

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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