Organization
GARY F MAPES DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY F MAPES DDS (OWNER)
(903) 297-6022
Entity
Organization
Contact information
Practice address
2800 GILMER RD, SUITE #1, LONGVIEW, TX 75604-1824
(903) 297-6022
Mailing address
2800 GILMER RD, SUITE #1, LONGVIEW, TX 75604-1824
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13912
TX
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
06/04/2012
Last updated
07/19/2012
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