Bosque Valley Family Dental | |
701 Ave C Valley Mills TX 76689 | |
(254) 932-6404 | |
(254) 932-6405 |
Full Name | Bosque Valley Family Dental |
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Speciality | Dentist |
Location | 701 Ave C, Valley Mills, Texas |
Authorized Official Name and Position | Jason C New (PRESIDENT) |
Authorized Official Contact | 2549326404 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bosque Valley Family Dental Po Box 127 701 Ave C Valley Mills TX 76689 Ph: (254) 932-6404 | Bosque Valley Family Dental 701 Ave C Valley Mills TX 76689 Ph: (254) 932-6404 |
NPI Number | 1669580742 |
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Provider Enumeration Date | 08/28/2006 |
Last Update Date | 10/14/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669580742 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 11551 (Texas) | Secondary |
122300000X | Dentist | 18658 (Texas) | Primary |
122300000X | Dentist | 22305 (Texas) | Secondary |