Organization
COLANGELO DENTISTRY PLLC
Active
Other names
Grapevine Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKE COLANGELO DDS (PRESIDENT)
(682) 667-7225
Entity
Organization
Contact information
Practice address
1015 W WALL ST, GRAPEVINE, TX 76051-5151
(817) 481-1813
Mailing address
1015 W WALL ST, GRAPEVINE, TX 76051-5151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23341
TX
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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