Individual
GWEN BRADER TUNSTALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7912 BAYWAY DRIVE, BAYTOWN, TX 77520-1204
(281) 424-0000
Mailing address
7912 BAYWAY DRIVE, BAYTOWN, TX 77520-1204
(281) 424-0000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14827
TX
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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