Heritage Trace Dental, PA
NPI #1013164284 in Keller, Texas
Provider Information
- NPI Number
- 1013164284
- Entity Type
- Organization
- Organization Name
- Heritage Trace Dental, PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 19, 2008
- Last Updated
- Aug 19, 2008
Practice Location
Authorized Official
- Name
- DR. BRETT NIELSEN, DDS
- Title
- VICE PRESIDENT
- Phone
- (817) 741-4288
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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