institution
Great Southwest Family Dental Pa
Dental Clinic/Center in Grand Prairie, Texas
NPI 1932754520

Great Southwest Family Dental Pa is a Dental Clinic/Center based in Grand Prairie, TX and is specialized in Dental. Great Southwest Family Dental Pa practices in Grand Prairie, TX. The NPI Number for Great Southwest Family Dental Pa is 1932754520 and holds a License No. (Texas).

The current practice location address for Great Southwest Family Dental Pa is 2308 Bardin Rd Ste 100, Grand Prairie, TX and can be reached out via phone at 972-660-8457 and via fax at 469-660-0100.

Location: 2308 Bardin Rd Ste 100, Grand Prairie, TX, 75052-3857
institution
Provider Profile Details
NPI Number
1932754520
Provider Name
Great Southwest Family Dental Pa
Credential
Provider Entity Type
Organization
Address
2308 Bardin Rd Ste 100, Grand Prairie, TX, 75052-3857
Phone Number
972-660-8457
Fax Number
469-660-0100
Provider Enumeration Date
08/09/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
142310512 05 TX
institution
Provider Business Practice Location Address Details
Address
2308 Bardin Rd Ste 100
City
State
Zip
75052-3857
Phone Number
972-660-8457
Fax Number
469-660-0100
person
Provider Business Mailing Address Details
Address
2308 Bardin Rd Ste 100
City
State
Zip
75052-3857
Phone Number
972-660-8457
Fax Number
469-660-0100
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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