Organization
B&G FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARA GULLEY DDS (DENTIST)
(713) 906-5159
Entity
Organization
Contact information
Practice address
402 S WASHINGTON AVE, LIVINGSTON, TX 77351
(936) 262-1919
Mailing address
402 S WASHINGTON AVE, LIVINGSTON, TX 77351
(936) 262-1919
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
06/05/2019
Last updated
06/10/2024
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