Individual
DR. JOSHUA GRESEHOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1700 ROGERS RD, APT 143, FORT WORTH, TX 76107-8608
(406) 579-9981
Mailing address
1700 ROGERS RD, APT 143, FORT WORTH, TX 76107-8608
(406) 579-9981
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
ETN163
TX
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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