| Brident Dds Pc | |
|
551 E Round Grove Rd Lewisville TX 75067-8310 | |
| (469) 528-2452 | |
| (469) 312-1514 |
| Full Name | Brident Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 551 E Round Grove Rd, Lewisville, Texas |
| Authorized Official Name and Position | Preet Takkar (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 7145713372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brident Dds Pc 530 S Main St Orange CA 92868-4525 Ph: (714) 480-3000 | Brident Dds Pc 551 E Round Grove Rd Lewisville TX 75067-8310 Ph: (469) 528-2452 |
| NPI Number | 1144930835 |
|---|---|
| Provider Enumeration Date | 12/02/2022 |
| Last Update Date | 12/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144930835 | NPI | - | NPPES |
| G60850 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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