# GARY J GARRISON DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GARY J GARRISON DDS INC
- **Other names:** Garrison Family Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1427217488
- **Legal business name:** GARY J GARRISON DDS INC
- **Authorized official:** GARY J GARRISON DDS (PRESIDENT)
- **Authorized official phone:** (210) 494-7222

## Contact information

- **Practice address:** 22100 BULVERDE ROAD, SUITE 114, SAN ANTONIO, TX 78259
- **Practice address phone:** (210) 494-7222
- **Practice address fax:** (210) 494-7227
- **Mailing address:** 22100 BULVERDE ROAD, SUITE 114, SAN ANTONIO, TX 78259
- **Mailing address phone:** (210) 494-7222
- **Mailing address fax:** (210) 494-7227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12112 | TX | Yes |

## Other

- **Enumeration date:** 06/05/2008
- **Last updated:** 06/05/2008
