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Organization
GENTLE DENTAL SPA PLLC
Active
Organization
GENTLE DENTAL SPA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEE SEMERA (CREDENTIALING MANAGER)
(817) 809-4865
Entity
Organization
Contact information
Practice address
735 OAK PARK AVE, CORPUS CHRISTI, TX 78408-2840
(361) 883-3993
Mailing address
1261 W GREEN OAKS BLVD, ARLINGTON, TX 76013-8348
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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