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Organization

DENTAL PROVIDER RESOURCES 4

Active
Other names
Complete Dental Care
Organization subpart
No

Provider details

NPI number
Authorized official
JARED BRUGGEMAN DDS (OWNER/DOCTOR)
(817) 328-6153
Entity
Organization

Contact information

Practice address
1000 TEXAN TRL, STE 229, GRAPEVINE, TX 76051-3776
(817) 328-6150
(866) 882-1702
Mailing address
1000 TEXAN TRL, STE 229, GRAPEVINE, TX 76051-3776
(817) 328-6150
(866) 882-1702

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
11/28/2012
Last updated
11/28/2012
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