Individual
DR. GISSELA BERNAL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
4142 BELLAIRE BLVD, HOUSTON, TX 77025-1008
(713) 500-4385
(281) 265-0502
Mailing address
22 PENNY GREEN ST, SUGAR LAND, TX 77479-2931
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
17890
TX
1223P0300X
Periodontics
DE00008259
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A0070829
DPS CONTROLLED SUBS.
TX
Enumeration date
04/12/2007
Last updated
03/07/2023
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