Dental Provider Resources 5, Pllc

NPI #1023350212 in The Woodlands, Texas

Provider Information

NPI Number
1023350212
Entity Type
Organization
Organization Name
Dental Provider Resources 5, Pllc
Primary Specialty
Dentist - Dental Public Health
Enumeration Date
Mar 26, 2013
Last Updated
Apr 1, 2013

Practice Location

Address
26219 INTERSTATE 45
State
Texas
ZIP Code
77380-1903
Phone
(817) 328-6150

Authorized Official

Name
DR. JARED BRUGGEMAN, DDS
Title
OWNER/DOCTOR
Phone
(817) 328-6153

Specialties & Taxonomy Codes

Specialty
Dentist - Dental Public HealthDental Public Health

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