Provider Demographics
NPI:1922310838
Name:GOBRON, ADINA (DDS)
Entity Type:Individual
Prefix:
First Name:ADINA
Middle Name:
Last Name:GOBRON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 W 43RD ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-4203
Mailing Address - Country:US
Mailing Address - Phone:713-681-0886
Mailing Address - Fax:713-681-0925
Practice Address - Street 1:1225 W 43RD ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-4203
Practice Address - Country:US
Practice Address - Phone:713-681-0886
Practice Address - Fax:713-681-0925
Is Sole Proprietor?:No
Enumeration Date:2010-07-08
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0025958122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist