# LAWRENCE MAHER, III, D.D.S AND GAYLA M MAHER, D.D.S., INC.

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

## Provider details

- **NPI number:** 1457313694
- **Authorized official:** DR. LAWRENCE MAHER III D.D.S. (OWNER)
- **Authorized official phone:** (281) 471-1797

## Contact information

- **Practice address:** 505 W FAIRMONT PKWY, SUITE A, LA PORTE, TX 77571-6312
- **Practice address phone:** (281) 471-1797
- **Practice address fax:** (281) 471-6339
- **Mailing address:** 505 W FAIRMONT PKWY, SUITE A, LA PORTE, TX 77571-6312
- **Mailing address phone:** (281) 471-1797
- **Mailing address fax:** (281) 471-6339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/04/2006
- **Last updated:** 08/22/2020
