# GARRETT A. BETHKE,D.D.S., INC.

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

## Provider details

- **NPI number:** 1366619710
- **Authorized official:** DR. GARRETT A BETHKE (PRESIDENT)
- **Authorized official phone:** (281) 492-6064

## Contact information

- **Practice address:** 21715 KINGSLAND BLVD STE 105, KATY, TX 77450-2544
- **Practice address phone:** (281) 492-6064
- **Practice address fax:** (281) 579-1808
- **Mailing address:** 21715 KINGSLAND BLVD STE 105, KATY, TX 77450-2544
- **Mailing address phone:** (281) 492-6064
- **Mailing address fax:** (281) 579-1808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22291 | TX | Yes |

## Other

- **Enumeration date:** 05/14/2008
- **Last updated:** 05/14/2008