| Polished Family Dental | |
|
104 Spanish Oaks Trail Glen Rose TX 76043 | |
| (254) 897-3143 | |
| (903) 465-1134 |
| Full Name | Polished Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 104 Spanish Oaks Trail, Glen Rose, Texas |
| Authorized Official Name and Position | Clayton K Cook (OWNER DENTIST) |
| Authorized Official Contact | 8172941090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polished Family Dental 104 Spanish Oaks Trail Glen Rose TX 76043 Ph: (254) 897-3143 | Polished Family Dental 104 Spanish Oaks Trail Glen Rose TX 76043 Ph: (254) 897-3143 |
| NPI Number | 1942687264 |
|---|---|
| Provider Enumeration Date | 05/06/2015 |
| Last Update Date | 09/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942687264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 29154 (Texas) | Primary |
Gbcc Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1104 Bluebonnet St, Glen Rose, TX 76043 Phone: 254-898-4646 Fax: 254-897-7321 |