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Organization
TEXAS DENTURE SERVICES, PLLC
Active
Organization
TEXAS DENTURE SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY W BAXLEY DDS (OWNER / DENTIST)
(817) 336-2121
Entity
Organization
Contact information
Practice address
1414 TEXAS ST, FORT WORTH, TX 76102-3426
(817) 336-2121
Mailing address
1414 TEXAS ST, FORT WORTH, TX 76102-3426
(817) 336-2121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15013
TX
Other
Enumeration date
12/20/2008
Last updated
12/20/2008
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