Grill Repair, P.a.

NPI #1346560489 in Saginaw, Texas

Provider Information

NPI Number: 1346560489
Entity Type: Organization
Organization Name: Grill Repair, P.a.
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Jun 10, 2010
Last Updated: Jun 15, 2010

Practice Location

Address: 705 W BAILEY BOSWELL RD
City: Saginaw
State: Texas
ZIP Code: 76179-1020
Phone: (817) 897-6006

Authorized Official

Name: BRYAN ELVEBAK
Title: OWNER/PARTNER
Phone: (817) 897-6006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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