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3412 E Highway 377 Granbury TX 76049-7418 | |
(817) 573-3761 | |
(817) 573-3764 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 3412 E Highway 377, Granbury, Texas |
Authorized Official Name and Position | Jennifer Hoelscher (INSURANCE/CREDENTIALING) |
Authorized Official Contact | 2175405100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3412 E Highway 377 Granbury TX 76049-7418 Ph: (817) 573-3761 | 3412 E Highway 377 Granbury TX 76049-7418 Ph: (817) 573-3761 |
NPI Number | 1821307265 |
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Provider Enumeration Date | 10/04/2010 |
Last Update Date | 02/05/2014 |
Identifier | Type | State | Issuer |
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1821307265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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