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Organization
SEMINARY FAMILY DENTAL PLLC
Active
Organization
SEMINARY FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITA DESAI DDS (OWNER)
(817) 924-0091
Entity
Organization
Contact information
Practice address
546 W SEMINARY DR, SUITE # C, FORT WORTH, TX 76115-1361
(817) 924-0091
Mailing address
546 W SEMINARY DR, SUITE # C, FORT WORTH, TX 76115-1361
(817) 924-0091
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21968
TX
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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