Organization
FALL CREEK FAMILY DENTAL PLLC
Active
Other names
Fall Creek Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
GOHAR BERNAL DMD (OWNER)
(713) 645-1680
Entity
Organization
Contact information
Practice address
9506 N SAM HOUSTON PKWY E, STE 230, HUMBLE, TX 77396-4901
(713) 645-1680
Mailing address
9506 N SAM HOUSTON PKWY E, STE 230, HUMBLE, TX 77396-4901
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25991
TX
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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