Gps Michael Mabry Dentistry Pllc

NPI #1851053821 in Southlake, Texas

Provider Information

NPI Number
1851053821
Entity Type
Organization
Organization Name
Gps Michael Mabry Dentistry Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Oct 7, 2021
Last Updated
Oct 7, 2021

Practice Location

Address
271 E SOUTHLAKE BLVD STE 100
State
Texas
ZIP Code
76092-6272
Phone
(817) 329-6677

Authorized Official

Name
DR. WILLIAM R LITTLE, DDS
Title
CO-OWNER
Phone
(870) 243-4406

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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