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1902069263
COUNTYWIDE DENTAL PA
CLEBURNE, TX
NPI
1902069263
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Entity Type
Organization
Authorized Contact
RICHARD L BULLARD
Owner/Dentist
817-517-7557
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 21787)
Enumeration Date
2008-07-08
Last Update Date
2008-07-08
Business Address
COUNTYWIDE DENTAL PA
622 N MAIN ST
CLEBURNE, TX 76033-3842
Phone number: 817-517-7557
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Mailing Address
COUNTYWIDE DENTAL PA
622 N MAIN ST
CLEBURNE, TX 76033-3842
Phone number: 817-517-7557
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