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Organization

IBRUSH FAMILY DENTISTRY, PLLC

Active
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Organization

IBRUSH FAMILY DENTISTRY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANIA KHATIB DDS (OWNER/ DENTIST)
(682) 800-3513
Entity
Organization

Contact information

Practice address
3513 MCCART AVE STE B, FORT WORTH, TX 76110-4600
(817) 921-4646
(817) 921-4546
Mailing address
3513 MCCART AVE STE B, FORT WORTH, TX 76110-4600
(817) 921-4646
(817) 921-4546

Taxonomy

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

Other

Enumeration date
02/07/2021
Last updated
02/07/2021
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