# FAMILY DENTISTRY OF GONZALES

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

## Provider details

- **NPI number:** 1194956979
- **Authorized official:** DR. GLORIA HAUG D.D.S. (OWNER)
- **Authorized official phone:** (830) 672-8664

## Contact information

- **Practice address:** 606 SAINT LOUIS ST, GONZALES, TX 78629-4034
- **Practice address phone:** (830) 672-8664
- **Mailing address:** PO BOX 546, GONZALES, TX 78629-0546
- **Mailing address phone:** (830) 672-8664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12449 | TX | Yes |
| 1223G0001X | General Practice Dentistry | 22987 | TX | — |

## Other

- **Enumeration date:** 07/28/2009
- **Last updated:** 07/28/2009