| Bosque Valley Family Dental | |
|
701 Ave C Valley Mills TX 76689 | |
| (254) 932-6404 | |
| (254) 932-6405 |
| Full Name | Bosque Valley Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 701 Ave C, Valley Mills, Texas |
| Authorized Official Name and Position | Jason C New (PRESIDENT) |
| Authorized Official Contact | 2549326404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bosque Valley Family Dental Po Box 127 701 Ave C Valley Mills TX 76689 Ph: (254) 932-6404 | Bosque Valley Family Dental 701 Ave C Valley Mills TX 76689 Ph: (254) 932-6404 |
| NPI Number | 1669580742 |
|---|---|
| Provider Enumeration Date | 08/28/2006 |
| Last Update Date | 10/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669580742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 11551 (Texas) | Secondary |
| 122300000X | Dentist | 22305 (Texas) | Secondary |
| 122300000X | Dentist | 18658 (Texas) | Primary |