Organization
GROVEWAY DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SELMA B GUTTIN (DENTIST)
(713) 641-1118
Entity
Organization
Contact information
Practice address
4501 GROVEWAY DR, HOUSTON, TX 77087-1122
(713) 641-1118
(713) 640-2221
Mailing address
4501 GROVEWAY DR, HOUSTON, TX 77087-1122
(713) 641-1118
(713) 640-2221
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16907
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009788301
—
TX
Enumeration date
06/27/2008
Last updated
06/27/2008
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