Toothhq Dental Specialists Grapevine Pllc | |
3801 William D Tate Ave Ste 100 Grapevine TX 76051-8755 | |
(214) 731-0123 | |
Not Available |
Full Name | Toothhq Dental Specialists Grapevine Pllc |
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Speciality | Dentist - Periodontics |
Location | 3801 William D Tate Ave Ste 100, Grapevine, Texas |
Authorized Official Name and Position | Chad Hendricks (CREDENTIALING) |
Authorized Official Contact | 6128590444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Toothhq Dental Specialists Grapevine Pllc 3801 William D Tate Ave Ste 100 Grapevine TX 76051-8755 Ph: (214) 731-0123 | Toothhq Dental Specialists Grapevine Pllc 3801 William D Tate Ave Ste 100 Grapevine TX 76051-8755 Ph: (214) 731-0123 |
NPI Number | 1346885456 |
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Provider Enumeration Date | 11/12/2019 |
Last Update Date | 11/12/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346885456 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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