# GOMES DENTAL, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003065095
- **Authorized official:** ANDREW GOMES DDS (OWNER)
- **Authorized official phone:** (210) 788-1967

## Contact information

- **Practice address:** 4115 POND HILL RD, SUITE 102, SHAVANO PARK, TX 78231
- **Practice address phone:** (210) 788-1967
- **Mailing address:** 4115 POND HILL RD, SUITE 102, SAN ANTONIO, TX 78231
- **Mailing address phone:** (210) 788-1967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 32041 | TX | Yes |

## Other

- **Enumeration date:** 09/15/2008
- **Last updated:** 04/27/2017
