DENTAL PROVIDER RESOURCES 4

GRAPEVINE, TX
NPI1013252246
Entity TypeOrganization
Authorized ContactJARED BRUGGEMAN
Owner/Doctor
817-328-6153
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2012-11-28
Last Update Date2012-11-28
Business Address
DENTAL PROVIDER RESOURCES 4
1000 TEXAN TRL STE 229
GRAPEVINE, TX 76051-3776
Phone number: 817-328-6150
Mailing Address
DENTAL PROVIDER RESOURCES 4
1000 TEXAN TRL STE 229
GRAPEVINE, TX 76051-3776
Phone number: 817-328-6150
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