South Texas Dental Associates, L.p.

NPI #1447476338 in Ft Worth, Texas

Provider Information

NPI Number: 1447476338
Entity Type: Organization
Organization Name: South Texas Dental Associates, L.p.
Primary Specialty: Dentist
Enumeration Date: Apr 18, 2007
Last Updated: Jul 7, 2011

Practice Location

Address: 225 NE 28TH ST
City: Ft Worth
State: Texas
ZIP Code: 76164-7205
Phone: (817) 624-0044

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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