| R. B. Braidfoot Dmd Pllc | |
|
7777 Forest Ln C-626 Dallas TX 75230-2571 | |
| (672) 566-6383 | |
| (972) 566-3847 |
| Full Name | R. B. Braidfoot Dmd Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7777 Forest Ln, Dallas, Texas |
| Authorized Official Name and Position | Raymond Blake Braidfoot (PEDIATRIC DENTIST, OWNE/OPERATOR) |
| Authorized Official Contact | 9725666383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R. B. Braidfoot Dmd Pllc 7777 Forest Ln C-626 Dallas TX 75230-2571 Ph: (672) 566-6383 | R. B. Braidfoot Dmd Pllc 7777 Forest Ln C-626 Dallas TX 75230-2571 Ph: (672) 566-6383 |
| NPI Number | 1336570654 |
|---|---|
| Provider Enumeration Date | 12/12/2013 |
| Last Update Date | 12/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336570654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 23666 (Texas) | Primary |
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