Gulf Coast Dental Pc Valid NPI

Organization · General Practice Dentistry · Lake Jackson, TX

NPI

1912123092

Type

Organization (Type 2)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

19499 (TX)

Enumerated

2007-04-17

Last updated

2008-08-12