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Organization
JOE R. GORHAM DDS,INC.
Active
Organization
JOE R. GORHAM DDS,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEAN M BADER (DENTAL HYGIENIST)
(214) 388-7416
Entity
Organization
Contact information
Practice address
2222 N PRAIRIE CREEK RD, DALLAS, TX 75227-8101
(214) 388-7416
Mailing address
2222 N PRAIRIE CREEK RD, DALLAS, TX 75227-8101
(214) 388-7416
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7599
TX
Other
Enumeration date
12/12/2013
Last updated
01/16/2014
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