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Organization
GULFSIDE DENTAL BRIDGE CITY PLLC
Active
Organization
GULFSIDE DENTAL BRIDGE CITY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
1860 TEXAS AVE, BRIDGE CITY, TX 77611-2808
(409) 735-8146
(409) 735-2167
Mailing address
PO BOX 734753, DALLAS, TX 75373-4753
(972) 869-3789
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26511
TX
Other
Enumeration date
04/09/2018
Last updated
01/11/2022
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