| Grill Repair, P. A. | |
|
6225 Chapel Hill Blvd Plano TX 75093-6392 | |
| (817) 897-6006 | |
| Not Available |
| Full Name | Grill Repair, P. A. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6225 Chapel Hill Blvd, Plano, Texas |
| Authorized Official Name and Position | Bryan Elvebak (PARTNER) |
| Authorized Official Contact | 9404845437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grill Repair, P. A. Po Box 161971 Fort Worth TX 76161-1971 Ph: (817) 897-6006 | Grill Repair, P. A. 6225 Chapel Hill Blvd Plano TX 75093-6392 Ph: (817) 897-6006 |
| NPI Number | 1750682142 |
|---|---|
| Provider Enumeration Date | 11/16/2010 |
| Last Update Date | 11/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750682142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 20522 (Texas) | Primary |
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