| Brawley Dental Clinic, Pllc | |
|
110 N Washington St La Grange TX 78945-2627 | |
| (979) 968-5813 | |
| (979) 968-5815 |
| Full Name | Brawley Dental Clinic, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 110 N Washington St, La Grange, Texas |
| Authorized Official Name and Position | Kari L Brawley (OWNER) |
| Authorized Official Contact | 9799685813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brawley Dental Clinic, Pllc 110 N Washington St La Grange TX 78945-2627 Ph: (979) 968-5813 | Brawley Dental Clinic, Pllc 110 N Washington St La Grange TX 78945-2627 Ph: (979) 968-5813 |
| NPI Number | 1730610007 |
|---|---|
| Provider Enumeration Date | 03/27/2017 |
| Last Update Date | 03/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730610007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22217 (Texas) | Primary |
| 1223G0001X | Dentist - General Practice | 13463 (Texas) | Secondary |
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