| Gatesville Dental Pllc | |
|
2416 S State Highway 36 Gatesville TX 76528-2518 | |
| (254) 216-2612 | |
| Not Available |
| Full Name | Gatesville Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2416 S State Highway 36, Gatesville, Texas |
| Authorized Official Name and Position | Mona Agarwal (OWNER/DENTIST) |
| Authorized Official Contact | 4239431203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gatesville Dental Pllc 5113 Cedar Brush Dr Fort Worth TX 76123-2962 Ph: () - | Gatesville Dental Pllc 2416 S State Highway 36 Gatesville TX 76528-2518 Ph: (254) 216-2612 |
| NPI Number | 1235636960 |
|---|---|
| Provider Enumeration Date | 04/09/2018 |
| Last Update Date | 04/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235636960 | NPI | - | NPPES |
| 27214 | Other | TX | TEXAS BOARD OF DENTAL EXAMINERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 27214 (Texas) | Primary |
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