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Organization
RODEO EDINBURG & ORTHODONTICS, PLLC
Active
Organization
RODEO EDINBURG & ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAAM ZARRABI (OWNER)
(817) 529-8151
Entity
Organization
Contact information
Practice address
100 E 15TH ST STE 520, FORT WORTH, TX 76102-6566
(817) 529-8151
Mailing address
100 E 15TH ST STE 520, FORT WORTH, TX 76102-6566
(817) 529-8151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182419510
—
TX
05
—
182419511
—
TX
05
—
182419513
—
TX
05
—
182419514
—
TX
05
—
182419515
—
TX
Enumeration date
04/29/2016
Last updated
04/29/2016
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