| Custom Dental Of Gainesville Pllc | |
|
301 E California St Gainesville TX 76240-4005 | |
| (940) 665-0726 | |
| Not Available |
| Full Name | Custom Dental Of Gainesville Pllc |
|---|---|
| Speciality | Dentist |
| Location | 301 E California St, Gainesville, Texas |
| Authorized Official Name and Position | Bryce Gates (DR-OWNER) |
| Authorized Official Contact | 2146161574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Custom Dental Of Gainesville Pllc 301 E California St Gainesville TX 76240-4005 Ph: (940) 665-0726 | Custom Dental Of Gainesville Pllc 301 E California St Gainesville TX 76240-4005 Ph: (940) 665-0726 |
| NPI Number | 1225832983 |
|---|---|
| Provider Enumeration Date | 04/02/2025 |
| Last Update Date | 04/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225832983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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