South Texas Dental Associates, L.p.

NPI #1447478847 in Ft Worth, Texas

Provider Information

NPI Number: 1447478847
Entity Type: Organization
Organization Name: South Texas Dental Associates, L.p.
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 23, 2007
Last Updated: Jul 7, 2011

Practice Location

Address: 815 E BERRY ST # B
City: Ft Worth
State: Texas
ZIP Code: 76110-4414
Phone: (817) 920-5919

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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