| Grapevine Dental Center Pllc | |
|
1015 W Wall St Grapevine TX 76051-5151 | |
| (817) 481-1813 | |
| Not Available |
| Full Name | Grapevine Dental Center Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1015 W Wall St, Grapevine, Texas |
| Authorized Official Name and Position | Mike Cole (VP INSURANCE PLAN MANAGEMENT) |
| Authorized Official Contact | 7274242990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grapevine Dental Center Pllc 1015 W Wall St Grapevine TX 76051-5151 Ph: () - | Grapevine Dental Center Pllc 1015 W Wall St Grapevine TX 76051-5151 Ph: (817) 481-1813 |
| NPI Number | 1881364586 |
|---|---|
| Provider Enumeration Date | 09/15/2021 |
| Last Update Date | 09/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881364586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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