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Organization
GLADE CROSSING DENTAL, PA
Active
Organization
GLADE CROSSING DENTAL, PA
Active
Other names
Bear Creek Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E TAFEL DDS (OWNER)
(214) 420-7000
Entity
Organization
Contact information
Practice address
1000 W. GLADE ROAD, SUITE 300, GRAPEVINE, TX 76051-7535
(214) 420-7000
Mailing address
PO BOX 543414, DALLAS, TX 75354-3414
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
04/02/2021
Last updated
03/11/2022
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