Provider Demographics
NPI:1417081340
Name:GGR DENTAL CENTER
Entity Type:Organization
Organization Name:GGR DENTAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:MR
Authorized Official - First Name:GAINCARLO
Authorized Official - Middle Name:GREGORIO
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:713-436-7697
Mailing Address - Street 1:2360 COUNTY ROAD 94
Mailing Address - Street 2:SUITE #110
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-4884
Mailing Address - Country:US
Mailing Address - Phone:713-436-7697
Mailing Address - Fax:713-436-7698
Practice Address - Street 1:2360 COUNTY ROAD 94
Practice Address - Street 2:SUITE #110
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-4884
Practice Address - Country:US
Practice Address - Phone:713-436-7697
Practice Address - Fax:713-436-7698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX196191223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty