# GULF FAMILY DENTAL PC

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

## Provider details

- **NPI number:** 1356733794
- **Authorized official:** DR. ABDOUL R KORONI DDS (PRESIDENT)
- **Authorized official phone:** (713) 946-8200

## Contact information

- **Practice address:** 3701 SHAVER ST, PASADENA, TX 77504-2601
- **Practice address phone:** (713) 946-8200
- **Practice address fax:** (713) 946-8203
- **Mailing address:** 3701 SHAVER ST., PASADENA, TX 77504
- **Mailing address phone:** (713) 946-8200
- **Mailing address fax:** (713) 946-8203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 19896 | TX | Yes |

## Other

- **Enumeration date:** 02/23/2015
- **Last updated:** 02/23/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0078305-02 | — | TX |
| 05 | — | 0078305-04 | — | TX |