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Organization
ALTAMESA DENTAL HOME PLLC
Active
Organization
ALTAMESA DENTAL HOME PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROHIT NARAYAN DDS (OWNER/DENTIST)
(423) 946-9375
Entity
Organization
Contact information
Practice address
2101 ALTAMESA BLVD # 103, FORT WORTH, TX 76134-3328
(423) 946-9375
Mailing address
2101 ALTAMESA BLVD # 103, FORT WORTH, TX 76134-3328
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26309
DENTAL LIC
TX
Enumeration date
02/12/2021
Last updated
02/12/2021
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