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Organization

ECONOMY DENTAL, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GENE GRESS (PRESIDENT)
(512) 461-4027
Entity
Organization

Contact information

Practice address
11100 PARKFIELD DR, AUSTIN, TX 78758-4263
(512) 339-7848
(512) 339-7862
Mailing address
11100 PARKFIELD DR, AUSTIN, TX 78758-4263
(512) 339-7848
(512) 339-7862

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13087
TX
1223P0221X
Pediatric Dentistry
24336
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
167784101
TX
Enumeration date
11/14/2007
Last updated
04/27/2009
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