| Complete Dentistry in Trophy Club | |
|
301 Trophy Branch Dr Ste 100 Trophy Club TX 76262-9710 | |
| (817) 691-8379 | |
| Not Available |
| Full Name | Complete Dentistry in Trophy Club |
|---|---|
| Speciality | Dentist |
| Location | 301 Trophy Branch Dr Ste 100, Trophy Club, Texas |
| Authorized Official Name and Position | Chad Hendricks (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6128590444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Dentistry in Trophy Club 301 Trophy Branch Dr Ste 100 Trophy Club TX 76262-9710 Ph: (817) 691-8379 | Complete Dentistry in Trophy Club 301 Trophy Branch Dr Ste 100 Trophy Club TX 76262-9710 Ph: (817) 691-8379 |
| NPI Number | 1477213940 |
|---|---|
| Provider Enumeration Date | 12/27/2021 |
| Last Update Date | 12/27/2021 |
| Certification Date | 12/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477213940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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