Gulfside Dental Bridge City Pllc
NPI #1255838082 in Bridge City, Texas
Provider Information
- NPI Number
- 1255838082
- Entity Type
- Organization
- Organization Name
- Gulfside Dental Bridge City Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 9, 2018
- Last Updated
- Jan 11, 2022
Practice Location
- Address
- 1860 TEXAS AVE
- City
- Bridge City
- State
- Texas
- ZIP Code
- 77611-2808
- Phone
- (409) 735-8146
Authorized Official
- Name
- FAITH GASKINS
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (972) 869-3789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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