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Individual

DR. GUSTAVO SALAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S; M.S

Contact information

Practice address
14740 BARRYKNOLL LN, SUITE 160, HOUSTON, TX 77079-2884
(281) 589-6100
(281) 752-0256
Mailing address
3318 WRANGLER SKY CT, KATY, TX 77494-2770

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
24248
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
24248
TX

Other

Enumeration date
09/12/2008
Last updated
04/14/2016
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