# GROVEWAY DENTAL ASSOCIATES

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

## Provider details

- **NPI number:** 1265694657
- **Authorized official:** DR. SELMA B GUTTIN (DENTIST)
- **Authorized official phone:** (713) 641-1118

## Contact information

- **Practice address:** 4501 GROVEWAY DR, HOUSTON, TX 77087-1122
- **Practice address phone:** (713) 641-1118
- **Practice address fax:** (713) 640-2221
- **Mailing address:** 4501 GROVEWAY DR, HOUSTON, TX 77087-1122
- **Mailing address phone:** (713) 641-1118
- **Mailing address fax:** (713) 640-2221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 16907 | TX | Yes |

## Other

- **Enumeration date:** 06/27/2008
- **Last updated:** 06/27/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009788301 | — | TX |