# 8901 TEHAMA RIDGE PKWY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fresh Smiles of Fort Worth Alliance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265157978
- **Authorized official:** GUNJAN DHIR DDS (OWNER)
- **Authorized official phone:** (817) 809-4860

## Contact information

- **Practice address:** 8901 TEHAMA RIDGE PKWY STE 119, FORT WORTH, TX 76177-2032
- **Practice address phone:** (214) 317-4039
- **Mailing address:** 2401 E RANDOL MILL RD, ARLINGTON, TX 76011-6349
- **Mailing address phone:** (817) 809-4860
- **Mailing address fax:** (682) 626-1824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/05/2022
- **Last updated:** 10/07/2022