Organization
JULIO GAITAN D.D.S., P.A.
Active
Other names
Lake Houston Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
JULIO GAITAN D.D.S (OWNER)
(214) 796-8130
Entity
Organization
Contact information
Practice address
19100 W LAKE HOUSTON PKWY, SUITE 103, HUMBLE, TX 77346-5138
(214) 300-1427
Mailing address
215 N CRIMSON CLOVER CIR, SPRING, TX 77381-3887
(214) 796-8130
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
TX
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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