Organization
OPEN MOUTH, PLLC.
Active
Other names
Good Faith Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE GREEN (OFFICE MANAGER)
(817) 900-0764
Entity
Organization
Contact information
Practice address
310 NW JOHN JONES DR STE 100, BURLESON, TX 76028-5788
(817) 900-0764
(818) 242-5283
Mailing address
310 NW JOHN JONES DR STE 100, BURLESON, TX 76028-5788
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
09/02/2021
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