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Organization
FEARLESS DENTAL PC
Active
Organization
FEARLESS DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN MARTIN DDS (OWNER)
(469) 261-9160
Entity
Organization
Contact information
Practice address
101 AUSTIN BLVD, SUITE 100, RED OAK, TX 75154
(972) 617-3322
(972) 617-3315
Mailing address
101 AUSTIN BLVD, SUITE 100, RED OAK, TX 75154-4666
(972) 617-3322
(972) 617-3315
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21256
TX
Other
Enumeration date
08/30/2012
Last updated
06/25/2015
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