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Organization
M G DENTAL ASSOCIATES
Active
Organization
M G DENTAL ASSOCIATES
Active
Other names
always affordable dental center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYRA LYNN GOCHNOUR DDS (OWNER)
(281) 455-1485
Entity
Organization
Contact information
Practice address
710 GASLIGHT BLVD, STE C, LUFKIN, TX 75904-3153
(936) 632-0077
(936) 632-0079
Mailing address
PO BOX 154407, LUFKIN, TX 75915-4407
(936) 632-0077
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13030
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181535901
—
TX
Enumeration date
05/16/2008
Last updated
05/16/2008
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