Dental Provider Resources 2, Pllc

NPI #1366702607 in Aubrey, Texas

Provider Information

NPI Number: 1366702607
Entity Type: Organization
Organization Name: Dental Provider Resources 2, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: May 21, 2012
Last Updated: May 21, 2012

Practice Location

Address: 26735 US HIGHWAY 380 E
Address 2: STE 105
City: Aubrey
State: Texas
ZIP Code: 76227-8210
Phone: (972) 347-1090

Authorized Official

Name: DR. JARED BRUGGEMAN
Title: DDS
Phone: (817) 328-1650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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