Open Mouth, Pllc.

NPI #1174194732 in Burleson, Texas

Provider Information

NPI Number: 1174194732
Entity Type: Organization
Organization Name: Open Mouth, Pllc.
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jul 6, 2021
Last Updated: Sep 2, 2021

Practice Location

Address: 310 NW JOHN JONES DR STE 100
City: Burleson
State: Texas
ZIP Code: 76028-5788
Phone: (817) 900-0764

Authorized Official

Name: NICOLE GREEN
Title: OFFICE MANAGER
Phone: (817) 900-0764

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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