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Organization
GULF FAMILY DENTAL PC
Active
Organization
GULF FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDOUL R KORONI DDS (PRESIDENT)
(713) 645-8822
Entity
Organization
Contact information
Practice address
4023 GULF ST, HOUSTON, TX 77087-4723
(713) 645-8822
(713) 649-6023
Mailing address
4023 GULF ST, HOUSTON, TX 77087-4723
(713) 645-8822
(713) 649-6023
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19896
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078305-02
—
TX
Enumeration date
04/01/2011
Last updated
04/01/2011
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