Organization
BRIDENT DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL DEMBERECKYJ (EXECUTIVE VICE PRESIDENT)
(714) 571-6445
Entity
Organization
Contact information
Practice address
9021 TEHAMA RIDGE PKWY, FT WORTH, TX 76177-2002
(714) 571-2140
(714) 571-6445
Mailing address
530 S MAIN ST, ORANGE, CA 92868-4525
(714) 480-3000
(714) 571-6445
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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