# FALL CREEK FAMILY DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fall Creek Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760720650
- **Authorized official:** GOHAR BERNAL DMD (OWNER)
- **Authorized official phone:** (713) 645-1680

## Contact information

- **Practice address:** 9506 N SAM HOUSTON PKWY E, STE 230, HUMBLE, TX 77396-4901
- **Practice address phone:** (713) 645-1680
- **Mailing address:** 9506 N SAM HOUSTON PKWY E, STE 230, HUMBLE, TX 77396-4901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 25991 | TX | Yes |

## Other

- **Enumeration date:** 01/28/2013
- **Last updated:** 01/28/2013