GULF COAST DENTAL PC

LAKE JACKSON, TX
NPI1912123092
Former Legal Business NameKAVITHA GINJUPALLI DDS PC
Entity TypeOrganization
Authorized ContactKAVITHA GINJUPALLI
President
979-480-9300
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  19499)
Enumeration Date2007-04-17
Last Update Date2008-08-12
Business Address
GULF COAST DENTAL PC
309 GARLAND DR
LAKE JACKSON, TX 77566-6238
Phone number: 979-480-9300
Mailing Address
GULF COAST DENTAL PC
309 GARLAND DR
LAKE JACKSON, TX 77566-6238
Phone number: 979-480-9300