Jere Hepler Bone, DDS Valid NPI

Individual provider · General Practice Dentistry · Trophy Club, TX

NPI

1104995869

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

TX7426 (TX)

Sex

Male

Sole proprietor

No

Enumerated

2006-11-07

Last updated

2007-07-08