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Organization
TEXAS DENTURE CLINIC, PC
Active
Organization
TEXAS DENTURE CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON CLARK DAMON JR. DDS (PRESIDENT)
(806) 584-7991
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
261QD0000X
Dental Clinic/Center
Primary
27147
TX
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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