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Organization
FTWH DENTAL PLLC
Active
Organization
FTWH DENTAL PLLC
Active
Other names
PURE THEORY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
SUKHRAJ KHASSA (MANAGER)
(269) 753-9600
Entity
Organization
Contact information
Practice address
6600 NORTH FWY STE 109, FORT WORTH, TX 76137-7556
(972) 679-3630
Mailing address
6600 NORTH FWY STE 109, FORT WORTH, TX 76137-7556
(972) 679-3630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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