Organization
GRAPEVINE DENTAL CENTER PLLC
Active
Other names
Dental Care Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA J JOHNSON (CRO)
(941) 444-0558
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
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
07/21/2026
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