| Brident Dds Pc | |
|
9021 Tehama Ridge Pkwy Ft Worth TX 76177-2002 | |
| (714) 571-2140 | |
| (714) 571-6445 |
| Full Name | Brident Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 9021 Tehama Ridge Pkwy, Ft Worth, Texas |
| Authorized Official Name and Position | Bill Dembereckyj (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 7145716445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brident Dds Pc 530 S Main St Orange CA 92868-4525 Ph: (714) 480-3000 | Brident Dds Pc 9021 Tehama Ridge Pkwy Ft Worth TX 76177-2002 Ph: (714) 571-2140 |
| NPI Number | 1629762455 |
|---|---|
| Provider Enumeration Date | 06/05/2023 |
| Last Update Date | 06/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629762455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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