| Bella Vita Dentistry at Glade Parks | |
|
2131 Hwy 121 Suite 200 Euless TX 76039 | |
| (817) 283-1205 | |
| Not Available |
| Full Name | Bella Vita Dentistry at Glade Parks |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2131 Hwy 121, Euless, Texas |
| Authorized Official Name and Position | Joshua E Foreman (PESIDENT) |
| Authorized Official Contact | 8172831205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bella Vita Dentistry at Glade Parks 2131 Hwy 121 Suite 200 Euless TX 76039 Ph: (817) 283-1205 | Bella Vita Dentistry at Glade Parks 2131 Hwy 121 Suite 200 Euless TX 76039 Ph: (817) 283-1205 |
| NPI Number | 1811545346 |
|---|---|
| Provider Enumeration Date | 08/28/2019 |
| Last Update Date | 08/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811545346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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