Organization
DENTAL PROVIDER RESOURCES 2, PLLC
Active
Other names
Paloma Creek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED BRUGGEMAN (DDS)
(817) 328-1650
Entity
Organization
Contact information
Practice address
26735 US HIGHWAY 380 E, STE 105, AUBREY, TX 76227-8210
(972) 347-1090
(972) 347-1021
Mailing address
1000 TEXAN TRL, SUITE 229, GRAPEVINE, TX 76051-3776
(817) 328-6150
(866) 882-1702
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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