Organization
ACD PROFESSIONAL
Active
Other names
Austin Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JARED BRUGGEMAN DDS (DENTIST)
(817) 912-2982
Entity
Organization
Contact information
Practice address
2700 BARTON CREEK BLVD, STE 100, AUSTIN, TX 78735-1641
(512) 382-5888
(512) 382-5826
Mailing address
1127 S MAIN ST, GRAPEVINE, TX 76051-7533
(817) 380-5936
(817) 442-0900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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