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Organization
TOOTHHQ DENTAL SPECIALISTS GRAPEVINE PLLC
Active
Organization
TOOTHHQ DENTAL SPECIALISTS GRAPEVINE PLLC
Active
Other names
ToothHQ Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
3801 WILLIAM D TATE AVE STE 100, GRAPEVINE, TX 76051-8755
(214) 731-0123
Mailing address
3801 WILLIAM D TATE AVE STE 100, GRAPEVINE, TX 76051-8755
(214) 731-0123
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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