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Organization
HAYJACK INDUSTRIES
Active
Organization
HAYJACK INDUSTRIES
Active
Other names
Gentle Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN L HAYWOOD (PRESIDENT)
(817) 924-0223
Entity
Organization
Contact information
Practice address
3740 S UNIVERSITY DR, SUITE 203, FORT WORTH, TX 76109-3700
(817) 924-0223
Mailing address
3740 S UNIVERSITY DR, SUITE 203, FORT WORTH, TX 76109-3700
(817) 924-0223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13104
TX
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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