Organization
GULF COAST ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW C HADDAD D.M.D. (OWNER)
(832) 379-2696
Entity
Organization
Contact information
Practice address
4949 FAIRMONT PKWY, STE. 215, PASADENA, TX 77505-3757
(832) 379-2696
(832) 379-2697
Mailing address
4949 FAIRMONT PKWY, STE. 215, PASADENA, TX 77505-3757
(832) 379-2696
(832) 379-2697
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
25356
TX
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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