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3000 Village Pkwy Suite 430 Highland Village TX 75077 | |
| (972) 966-2326 | |
| (972) 966-2322 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3000 Village Pkwy, Highland Village, Texas |
| Authorized Official Name and Position | Kimberly H. Gronberg (PRESIDENT) |
| Authorized Official Contact | 9729662326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3000 Village Pkwy Suite 430 Highland Village TX 75077 Ph: (972) 966-2326 | 3000 Village Pkwy Suite 430 Highland Village TX 75077 Ph: (972) 966-2326 |
| NPI Number | 1780992636 |
|---|---|
| Provider Enumeration Date | 09/14/2010 |
| Last Update Date | 09/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780992636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 20890 (Texas) | Primary |
Waneta Chenault D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2280 Highland Village Rd, Suite #100, Highland Village, TX 75077 Phone: 972-966-6686 Fax: 972-966-0298 | |
Brendan Hubbard, Dds, Ms, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 Highland Village Rd Ste A, Highland Village, TX 75077 Phone: 972-317-4030 | |
Village Periodontics & Implant Dent Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2820 Village Pkwy Ste 630, Highland Village, TX 75077 Phone: 972-966-2500 Fax: 972-471-9833 |