| Brown Trail Dental | |
|
1404 Brown Trl Ste C Bedford TX 76022-6417 | |
| (817) 510-2960 | |
| Not Available |
| Full Name | Brown Trail Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1404 Brown Trl Ste C, Bedford, Texas |
| Authorized Official Name and Position | Howard He (MANAGING MEMBER) |
| Authorized Official Contact | 2149087660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brown Trail Dental 908 Canyon Oak Dr Euless TX 76039-1150 Ph: () - | Brown Trail Dental 1404 Brown Trl Ste C Bedford TX 76022-6417 Ph: (817) 510-2960 |
| NPI Number | 1538685680 |
|---|---|
| Provider Enumeration Date | 08/21/2017 |
| Last Update Date | 10/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538685680 | NPI | - | NPPES |
| 379608801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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