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Organization
BEAR CREEK FAMILY DENTISTRY
Active
Organization
BEAR CREEK FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRODERICK MONDY (MANAGER)
(214) 234-8444
Entity
Organization
Contact information
Practice address
2221 W LEDBETTER DR, DALLAS, TX 75224-4713
(214) 234-8444
Mailing address
2221 W LEDBETTER DR, DALLAS, TX 75224-4713
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
25694
TX
Other
Enumeration date
06/06/2015
Last updated
06/06/2015
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