Individual
DR. BRIAN WILLIAM DUGONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
3204 N MAIN ST, SUITE 120, FORT WORTH, TX 76106-5900
(817) 624-6677
(817) 624-6678
Mailing address
3204 N MAIN ST, SUITE 120, FORT WORTH, TX 76106-5900
(817) 624-6677
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0025955
TX
Other
Enumeration date
09/03/2010
Last updated
11/07/2012
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