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Organization
GAN DENTAL PLLC
Active
Organization
GAN DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YU GAN DMD (PRESIDENT)
(702) 460-7656
Entity
Organization
Contact information
Practice address
2323 PALMER HWY, TEXAS CITY, TX 77590
(702) 460-7656
Mailing address
2323 PALMER HWY, TEXAS CITY, TX 77590-7141
(409) 777-4777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30791
TX
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
30911
TX
Other
Enumeration date
10/06/2016
Last updated
10/31/2022
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