| Grapevine Dental | |
|
1015 W Wall St Grapevine TX 76051-5151 | |
| (817) 481-1813 | |
| Not Available |
| Full Name | Grapevine Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1015 W Wall St, Grapevine, Texas |
| Authorized Official Name and Position | Mike Colangelo (PRESIDENT) |
| Authorized Official Contact | 6826677225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grapevine Dental 1015 W Wall St Grapevine TX 76051-5151 | Grapevine Dental 1015 W Wall St Grapevine TX 76051-5151 Ph: (817) 481-1813 |
| NPI Number | 1679897490 |
|---|---|
| Provider Enumeration Date | 03/23/2010 |
| Last Update Date | 03/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679897490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23341 (Texas) | Primary |
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