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Organization
MCCART FAMILY DENTISTRY
Active
Organization
MCCART FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANITA A BOLIN (OWNER/DENTIST)
(817) 423-9300
Entity
Organization
Contact information
Practice address
6801 MCCART AVE STE B2, FORT WORTH, TX 76133-6368
(817) 423-9300
Mailing address
6801 MCCART AVE STE B2, FORT WORTH, TX 76133-6368
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20698
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152526310
—
TX
Enumeration date
04/23/2012
Last updated
04/23/2012
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