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Organization
Q.B. P.L.L.C.
Active
Organization
Q.B. P.L.L.C.
Active
Other names
Mansfield Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY THOMAS BUSKE D.D.S. (CEO)
(817) 405-2253
Entity
Organization
Contact information
Practice address
1601 E DEBBIE LN, SUITE 1125, MANSFIELD, TX 76063-3665
(817) 405-2253
Mailing address
1601 E DEBBIE LN, SUITE 1125, MANSFIELD, TX 76063-3665
(817) 405-2253
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18992
TX
Other
Enumeration date
08/11/2013
Last updated
09/06/2013
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