Organization
GABA DENTAL CLINIC LLC
Active
Other names
perfect dental of rosenberg
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT GABA (OWNER)
(281) 232-6610
Entity
Organization
Contact information
Practice address
4114 AVENUE H, ROSENBERG, TX 77471-2833
(281) 232-6610
Mailing address
4114 AVENUE H, ROSENBERG, TX 77471-2833
(281) 232-6610
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25865
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2143208
—
TX
Enumeration date
07/23/2012
Last updated
07/23/2012
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