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2631 Ira E Woods Ave Grapevine TX 76051-3829 | |
| (817) 481-6888 | |
| (817) 251-1999 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 2631 Ira E Woods Ave, Grapevine, Texas |
| Authorized Official Name and Position | Becky Coats (OWNER / DENTIST) |
| Authorized Official Contact | 8174816888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2631 Ira E Woods Ave Grapevine TX 76051-3829 Ph: (817) 481-6888 | 2631 Ira E Woods Ave Grapevine TX 76051-3829 Ph: (817) 481-6888 |
| NPI Number | 1548645377 |
|---|---|
| Provider Enumeration Date | 07/22/2015 |
| Last Update Date | 07/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548645377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20165 (Texas) | Primary |
Mint Oral Surgery, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2805 E Grapevine Mills Cir Ste 180, Grapevine, TX 76051 Phone: 214-821-6468 | |
Toothhq Dental Specialists Grapevine Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3801 William D Tate Ave Ste 100, Grapevine, TX 76051 Phone: 214-731-0123 | |