Organization
IBRITE DENTAL - CLEBURNE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN T LE DDS (DENTIST)
(817) 793-0013
Entity
Organization
Contact information
Practice address
1301 W HENDERSON ST STE H, CLEBURNE, TX 76033-5117
(817) 641-3344
(817) 641-3344
Mailing address
2104 CASTLE CREEK DR, MANSFIELD, TX 76063-5330
(817) 368-6378
(888) 600-6547
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
21298
TX
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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