| NPI | 1013559798 |
|---|---|
| Doing Business As | GOLD STAR DENTAL STATION |
| Entity Type | Organization |
| Authorized Contact | FAITH GASKINS Director Of Credentialing 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2024-02-21 |