Organization
CW VILLAGE 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
222 W CAMP WISDOM RD STE 222B, DUNCANVILLE, TX 75116-3329
(214) 420-7008
Mailing address
PO BOX 543271, DALLAS, TX 75354-3271
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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