Granbury Park Dental Gps Pllc | |
500 W Pearl St Granbury TX 76048-2044 | |
(817) 573-1141 | |
Not Available |
Full Name | Granbury Park Dental Gps Pllc |
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Speciality | Clinic/center - Dental |
Location | 500 W Pearl St, Granbury, Texas |
Authorized Official Name and Position | William Little (CO-OWNER) |
Authorized Official Contact | 8702434406 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Granbury Park Dental Gps Pllc 500 W Pearl St Granbury TX 76048-2044 Ph: () - | Granbury Park Dental Gps Pllc 500 W Pearl St Granbury TX 76048-2044 Ph: (817) 573-1141 |
NPI Number | 1598482275 |
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Provider Enumeration Date | 10/24/2022 |
Last Update Date | 10/24/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598482275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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