Ncd,pa

NPI #1972757748 in Watauga, Texas

Provider Information

NPI Number: 1972757748
Entity Type: Organization
Organization Name: Ncd,pa
Primary Specialty: Dentist
Enumeration Date: Nov 6, 2008
Last Updated: Nov 6, 2008

Practice Location

Address: 7748 DENTON HWY
City: Watauga
State: Texas
ZIP Code: 76148-2463
Phone: (817) 581-2100

Authorized Official

Name: KELLI TIPPETT
Title: OFFICE MANAGER
Phone: (817) 581-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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