South Texas Dental Associates, LP

NPI #1689015505 in Ft Worth, Texas

Provider Information

NPI Number: 1689015505
Entity Type: Organization
Organization Name: South Texas Dental Associates, LP
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 8, 2013
Last Updated: Jul 8, 2013

Practice Location

Address: 2482 JACKSBORO HWY
City: Ft Worth
State: Texas
ZIP Code: 76114-2201
Phone: (817) 626-4867

Authorized Official

Name: DR. BARRY GOMEL, DDS
Title: OFFICER/PARTNER
Phone: (713) 457-3445

Specialties & Taxonomy Codes

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

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