institution
Fort Worth Dental Care Pllc
Dental Clinic/Center in Fort Worth, Texas
NPI 1972001048

Fort Worth Dental Care Pllc is a Dental Clinic/Center based in Fort Worth, TX and is specialized in Dental. Fort Worth Dental Care Pllc practices in Fort Worth, TX. The NPI Number for Fort Worth Dental Care Pllc is 1972001048 and holds a License No. 17178 (Texas).

The current practice location address for Fort Worth Dental Care Pllc is 3646 Granbury Rd # 104, Fort Worth, TX and can be reached out via phone at 817-923-4606 and via fax at 817-923-5593.

Location: 3646 Granbury Rd # 104, Fort Worth, TX, 76109-3717
institution
Provider Profile Details
NPI Number
1972001048
Provider Name
Fort Worth Dental Care Pllc
Credential
Provider Entity Type
Organization
Address
3646 Granbury Rd # 104, Fort Worth, TX, 76109-3717
Phone Number
817-923-4606
Fax Number
817-923-5593
Provider Enumeration Date
01/24/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1194835215 01 NPI
institution
Provider Business Practice Location Address Details
Address
3646 Granbury Rd # 104
City
State
Zip
76109-3717
Phone Number
817-923-4606
Fax Number
817-923-5593
person
Provider Business Mailing Address Details
Address
3646 Granbury Rd # 104
City
State
Zip
76109-3717
Phone Number
817-923-4606
Fax Number
817-923-5593
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
17178 (Texas)
Definition
Definition to come...
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