Individual
CORBY WELDON GOTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
135 OYSTER CREEK DR, SUITE T, LAKE JACKSON, TX 77566-4183
(979) 297-2200
(979) 297-5954
Mailing address
135 OYSTER CREEK DR, SUITE T, LAKE JACKSON, TX 77566-4183
(979) 297-2200
(979) 297-5954
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21474
TX
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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