Organization
BELLA SKY DENTISTRY AT GLADE PARKS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA FOREMAN DDS (PRESIDENT)
(817) 283-1205
Entity
Organization
Contact information
Practice address
2131 STATE HIGHWAY 121 STE 200, EULESS, TX 76039-4166
(817) 283-1205
Mailing address
2131 STATE HIGHWAY 121 STE 200, EULESS, TX 76039-4166
(817) 283-1205
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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