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Organization
GONZALES DENTAL PLLC
Active
Organization
GONZALES DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA BARROW (CREDENTIALING MANAGER)
(817) 809-4860
Entity
Organization
Contact information
Practice address
1600 N SARAH DEWITT DR STE 206, GONZALES, TX 78629-2714
(830) 339-2007
(830) 203-5242
Mailing address
2401 E RANDOL MILL RD STE 520, ARLINGTON, TX 76011-6380
(817) 809-4860
(682) 626-1824
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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