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Organization
FORT WORTH ENDODONTICS
Active
Organization
FORT WORTH ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WALKER LOEFFELHOLZ D.D.S. , M.S. (MEMBER)
(817) 735-1981
Entity
Organization
Contact information
Practice address
4545 BELLAIRE DR S STE 8, FORT WORTH, TX 76109-1811
(817) 735-1981
Mailing address
4545 BELLAIRE DR S STE 8, FORT WORTH, TX 76109-1811
(817) 735-1981
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
25792
TX
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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