Dental Provider Resources 4
NPI #1013252246 in Grapevine, Texas
Provider Information
- NPI Number
- 1013252246
- Entity Type
- Organization
- Organization Name
- Dental Provider Resources 4
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 28, 2012
- Last Updated
- Nov 28, 2012
Practice Location
Authorized Official
- Name
- JARED BRUGGEMAN, DDS
- Title
- OWNER/DOCTOR
- Phone
- (817) 328-6153
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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