Organization
GARY MOBLEY DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY MOBLEY DDS,M.SC. (PRESIDENT)
(903) 463-6013
Entity
Organization
Contact information
Practice address
2230 S EISENHOWER PKWY, DENISON, TX 75020-7724
(903) 463-6013
(903) 463-1442
Mailing address
2230 S EISENHOWER PKWY, DENISON, TX 75020-7724
(903) 463-6013
(903) 463-1442
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
TX9690
OK
261QD0000X
Dental Clinic/Center
Primary
TX9690
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009239702
—
TX
01
—
1265436992
NPI PRACTICE
OK
01
—
1265436992
NPI PRACTICE
TX
Enumeration date
07/01/2009
Last updated
07/01/2009
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