| NPI | 1366702607 |
|---|---|
| Doing Business As | PALOMA CREEK DENTAL |
| Entity Type | Organization |
| Authorized Contact | JARED BRUGGEMAN Dds 817-328-1650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |