Individual
MR. MICHAEL B GISSELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MD
Contact information
Practice address
6501 BLANCO RD, SAN ANTONIO, TX 78216
(210) 341-7264
(210) 341-2022
Mailing address
6501 BLANCO RD, SAN ANTONIO, TX 78216
(210) 341-7264
(210) 341-2022
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
20087
TX
Other
Enumeration date
05/23/2006
Last updated
01/26/2011
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