Heritage Trace Dental, Pa

NPI 1013164284 - Dentist - 1223G0001X

NPI Details
NPI 1013164284
Enumeration Date 08/19/2008
Last Updated 08/19/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name BRETT BRETT
Position VICE PRESIDENT
Phone (817) 741-4288
Fax
Practice Location
4160 HERITAGE TRACE PKWY
SUITE 408
KELLER TX, 76248-1312, US
Phone (817) 741-4288
Fax
Business Location
4160 HERITAGE TRACE PKWY
SUITE 408
KELLER TX, 76248-1313, US
Phone (817) 741-4288
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
Remove 1013164284 NPI Number
 

According to our database, Heritage Trace Dental, Pa NPI is 1013164284, taxonomy code is 1223G0001X Heritage Trace Dental, Pa physically located at 4160 Heritage Trace Pkwy, Keller TX, 76248-1312. NPI Number 1033115704 has the healthcare provider type.

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1013164284 NPI number is provided on an as is basis without warranty of any kind. 1013164284 is maintained by the National Plan & Provider Enumeration System. The contents of Heritage Trace Dental, Pa are for informational purposes only.