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Organization
HURST CITY FAMILY AND COSMETIC DENTISTRY
Active
Organization
HURST CITY FAMILY AND COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN UMUNNA NWOKORIE DMD (CEO)
(347) 439-8901
Entity
Organization
Contact information
Practice address
331 W HARWOOD RD STE A, HURST, TX 76054-3048
(817) 369-3290
(817) 369-3292
Mailing address
2100 REEVES RD, DECATUR, TX 76234-3855
(940) 627-8400
(940) 627-8402
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25799
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215320712
—
TX
Enumeration date
08/28/2014
Last updated
08/28/2014
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