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Organization
GLEAM DENTAL LLC
Active
Organization
GLEAM DENTAL LLC
Active
Parent organization
GLEAM DENTAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
GLEAM DENTAL
Authorized official
FIELD G. HARRISON DDS (OWNER/PROVIDER)
(972) 573-6100
Entity
Organization
Contact information
Practice address
3636 N. MACAURTHUR, STE 140, IRVING, TX 75062
(972) 573-6100
(972) 573-6105
Mailing address
3636 N. MACAURTHUR, STE. 140, IRVING, TX 75062
(972) 573-6100
(972) 573-6105
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23874
TX
122300000X
Dentist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TPI205977609
—
TX
Enumeration date
02/15/2012
Last updated
02/15/2012
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