Brandon Trevino, Dds, Pa | |
1550 Norwood Dr Suite 400 Hurst TX 76054-3646 | |
(817) 282-3411 | |
(817) 268-3529 |
Full Name | Brandon Trevino, Dds, Pa |
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Speciality | Dentist - General Practice |
Location | 1550 Norwood Dr, Hurst, Texas |
Authorized Official Name and Position | Brandon Jay Trevino (OWNER) |
Authorized Official Contact | 8172823411 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brandon Trevino, Dds, Pa 1550 Norwood Dr Suite 400 Hurst TX 76054-3646 Ph: (817) 282-3411 | Brandon Trevino, Dds, Pa 1550 Norwood Dr Suite 400 Hurst TX 76054-3646 Ph: (817) 282-3411 |
NPI Number | 1720380728 |
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Provider Enumeration Date | 11/23/2010 |
Last Update Date | 11/23/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720380728 | NPI | - | NPPES |
189848820 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 23264 (Texas) | Primary |
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