SE PROFESSIONAL

FRISCO, TX
NPI1174934236
Entity TypeOrganization
Authorized ContactJARED BRUGGEMAN
Dentist
817-912-2982
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2014-05-12
Last Update Date2014-05-12
Business Address
SE PROFESSIONAL
5858 W MAIN ST
FRISCO, TX 75033-4193
Phone number: 972-377-4477
Mailing Address
SE PROFESSIONAL
1127 S MAIN ST
GRAPEVINE, TX 76051-7533
Phone number: 972-377-4477
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