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Organization
UNIVERSITY PERIODONTAL ASSOCIATES PLLC
Active
Organization
UNIVERSITY PERIODONTAL ASSOCIATES PLLC
Active
Other names
University Periodontal Associates
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (CREDENTIALING DIRECTOR)
(972) 869-3789
Entity
Organization
Contact information
Practice address
3100 RICHMOND AVE STE 509, HOUSTON, TX 77098-3019
(713) 523-9040
(713) 523-7885
Mailing address
3100 RICHMOND AVE STE 509, HOUSTON, TX 77098-3019
(713) 523-9040
(713) 523-7885
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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