# TEXAS DENTURE CLINIC, PC

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

## Provider details

- **NPI number:** 1407195290
- **Authorized official:** DR. GORDON CLARK DAMON JR. DDS (PRESIDENT)
- **Authorized official phone:** (806) 584-7991

## Contact information

- **Practice address:** 1414 TEXAS ST, FORT WORTH, TX 76102-3426
- **Practice address phone:** (817) 336-2121
- **Mailing address:** 1414 TEXAS ST, FORT WORTH, TX 76102-3426
- **Mailing address phone:** (817) 336-2121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 27147 | TX | Yes |

## Other

- **Enumeration date:** 02/13/2013
- **Last updated:** 02/13/2013