Organization
GAC DENTAL PLLC
Active
Other names
Kids and Teens Dental Place
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINA CARPIO (OFFICE MANAGER)
(713) 413-8282
Entity
Organization
Contact information
Practice address
9540 SOUTH MAIN ST., STE 100, HOUSTON, TX 77025
(713) 413-8585
Mailing address
9540 SOUTH MAIN ST., STE 100, HOUSTON, TX 77025
(713) 413-8585
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24880
TSBDE
TX
Enumeration date
04/25/2019
Last updated
04/25/2019
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