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Organization

MICHAELANGELO DENTISTRY PLLC

Active
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Organization

MICHAELANGELO DENTISTRY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL COLANGELO DDS (PRESIDENT)
(817) 689-4284
Entity
Organization

Contact information

Practice address
2417 PARK HILL DR # 119, FORT WORTH, TX 76110-2240
(817) 926-9771
Mailing address
2417 PARK HILL DR # 119, FORT WORTH, TX 76110-2240

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23341
TX

Other

Enumeration date
03/09/2010
Last updated
03/09/2010
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