Organization
FAMILY DENTISTRY OF GONZALES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA HAUG D.D.S. (OWNER)
(830) 672-8664
Entity
Organization
Contact information
Practice address
606 SAINT LOUIS ST, GONZALES, TX 78629-4034
(830) 672-8664
Mailing address
PO BOX 546, GONZALES, TX 78629-0546
(830) 672-8664
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12449
TX
1223G0001X
General Practice Dentistry
22987
TX
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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