Braces On The Brazos Pllc | |
1116 N Meadows Dr Granbury TX 76048-1717 | |
(817) 573-4746 | |
Not Available |
Full Name | Braces On The Brazos Pllc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1116 N Meadows Dr, Granbury, Texas |
Authorized Official Name and Position | Keith Lee Clark (ORTHODONTIST) |
Authorized Official Contact | 3184551121 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Braces On The Brazos Pllc 1116 N Meadows Dr Granbury TX 76048-1717 Ph: (318) 455-1121 | Braces On The Brazos Pllc 1116 N Meadows Dr Granbury TX 76048-1717 Ph: (817) 573-4746 |
NPI Number | 1205392263 |
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Provider Enumeration Date | 02/14/2019 |
Last Update Date | 03/02/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205392263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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