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Organization
FAIRWAY DRIVE DENTISTRY PLLC
Active
Organization
FAIRWAY DRIVE DENTISTRY PLLC
Active
Other names
Alvin Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
1701 FAIRWAY DR STE 20, ALVIN, TX 77511-4678
(281) 331-0020
(281) 585-0505
Mailing address
1701 FAIRWAY DR STE 20, ALVIN, TX 77511-4678
(281) 331-0020
(281) 585-0505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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