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Organization

J. CHRIS GORHAM PA

Active
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Organization

J. CHRIS GORHAM PA

Active
Other names
Round Rock Family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. J. CHRIS GORHAM D.D.S. (OWNER)
(512) 255-7839
Entity
Organization

Contact information

Practice address
2000 S I H 35 STE K1, ROUND ROCK, TX 78681-6916
(512) 255-7839
(512) 255-7898
Mailing address
2000 S I H 35 STE K1, ROUND ROCK, TX 78681-6916
(512) 255-7839
(512) 255-7898

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20097
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
89D254
BLUE CROSS BLUE SHIELD OF TEXAS
TX
01
89D255
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
01/23/2007
Last updated
02/01/2010
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