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1194835215
STEPHEN GATLIN BROGDON
FORT WORTH, TX
NPI
1194835215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 17178)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Dr. STEPHEN GATLIN BROGDON DDS
3646 GRANBURY RD SUITE 104
FORT WORTH, TX 76109-3717
Phone number: 817-923-4606
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Mailing Address
Dr. STEPHEN GATLIN BROGDON DDS
3646 GRANBURY RD SUITE 104
FORT WORTH, TX 76109-3717
Phone number: 817-923-4606
Copy
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