Organization
MAEGAN ELAM, DDS AND ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAEGAN RENNA ELAM DDS (DENTIST/OWNER)
(817) 241-3535
Entity
Organization
Contact information
Practice address
2221 HARWOOD RD, BEDFORD, TX 76021-3607
(817) 241-3535
Mailing address
2221 HARWOOD RD, BEDFORD, TX 76021-3607
(817) 241-3535
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598020901
DR. MAEGAN RENNA ELAM
TX
Enumeration date
01/23/2019
Last updated
01/12/2022
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