Burgess And Mason Dds

NPI 1396814638 - Dentist - 1223G0001X

NPI Details
NPI 1396814638
Enumeration Date 11/08/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SCOTT ALAN SCOTT
Position OWNERPARTNER
Phone (817) 481-4717
Fax (817) 488-8335
Practice Location
1105 W WALL ST
GRAPEVINE TX, 76051-5152, US
Phone (817) 481-4717
Fax (817) 488-8335
Business Location
1105 W WALL ST
GRAPEVINE TX, 76051-5152, US
Phone (817) 481-4717
Fax (817) 488-8335
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 9032
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According to our database, Burgess And Mason Dds NPI is 1396814638, taxonomy code is 1223G0001X and license number is 9032, license state is located at Texas. Burgess And Mason Dds physically located at 1105 W Wall St, Grapevine TX, 76051-5152. NPI Number 1033115704 has the healthcare provider type.

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1396814638 NPI number is provided on an as is basis without warranty of any kind. 1396814638 is maintained by the National Plan & Provider Enumeration System. The contents of Burgess And Mason Dds are for informational purposes only.