Organization · NPI-2

Associates In General Dentistry Of Tx

Dentist · Bedford, TX

NPI number1376814582
StatusActive
Last updated in NPPESJan 19, 2012

Details

NPI
1376814582
Entity type
Organization (NPI-2)
Legal business name
Associates In General Dentistry Of Tx
Organization subpart
No
Enumeration date
Jan 19, 2012
Last updated
Jan 19, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist11984TXYes
122300000X Dentist25569TX

Practice location

2221 Harwood Rd
Bedford, TX 76021

Phone 817-283-2871 · Fax 817-283-1762

Mailing address

2221 Harwood Rd
Bedford, TX 76021

Phone 817-283-2871 · Fax 817-283-1762

Authorized official

David L Brown
Owner
8172832871

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