| Ncd,pa | |
|
7748 Denton Hwy Watauga TX 76148-2463 | |
| (817) 581-2100 | |
| Not Available |
| Full Name | Ncd,pa |
|---|---|
| Speciality | Dentist |
| Location | 7748 Denton Hwy, Watauga, Texas |
| Authorized Official Name and Position | Kelli Tippett (OFFICE MANAGER) |
| Authorized Official Contact | 8175812100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ncd,pa 7748 Denton Hwy Watauga TX 76148-2463 Ph: () - | Ncd,pa 7748 Denton Hwy Watauga TX 76148-2463 Ph: (817) 581-2100 |
| NPI Number | 1972757748 |
|---|---|
| Provider Enumeration Date | 11/06/2008 |
| Last Update Date | 11/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972757748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12638 (Texas) | Primary |
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