# BASSWOOD FAMILY DENTAL PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346396371
- **Authorized official:** HARVEEN DHILLON HANS DDS (DENTIST)
- **Authorized official phone:** (817) 788-7700

## Contact information

- **Practice address:** 5428 BASSWOOD BLVD, FT WORTH, TX 76137
- **Practice address phone:** (817) 788-7700
- **Practice address fax:** (817) 281-0055
- **Mailing address:** 5428 BASSWOOD BLVD, FT WORTH, TX 76137
- **Mailing address phone:** (817) 788-7700
- **Mailing address fax:** (817) 281-0055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 19297 | TX | Yes |

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 01/02/2014