Brident DDS PC

NPI #1629762455 in Ft Worth, Texas

Provider Information

NPI Number: 1629762455
Entity Type: Organization
Organization Name: Brident DDS PC
Primary Specialty: Dentist
Enumeration Date: Jun 5, 2023
Last Updated: Jun 5, 2023

Practice Location

Address: 9021 TEHAMA RIDGE PKWY
City: Ft Worth
State: Texas
ZIP Code: 76177-2002
Phone: (714) 571-2140

Authorized Official

Name: BILL DEMBERECKYJ
Title: EXECUTIVE VICE PRESIDENT
Phone: (714) 571-6445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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