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Organization
EL PASO ORAL SURGERY CENTER, PLLC
Active
Organization
EL PASO ORAL SURGERY CENTER, PLLC
Active
Other names
El Paso Oral Maxillofacial And Implant Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT B GULLEY DDS (OWNER/ORAL SURGEON)
(361) 992-3873
Entity
Organization
Contact information
Practice address
7878 GATEWAY BLVD EAST, SUITE 301, EL PASO, TX 79915
(361) 992-3873
(361) 992-7328
Mailing address
6421 SARATOGA BLVD, BLDG 101, CORPUS CHRISTI, TX 78414
(361) 992-3873
(361) 992-7328
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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